Active NPI
Elias Pasquerillo, PA
- Physician Assistant
- Saco, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2934
- Practice address
- 13 Industrial Park Rd
Saco, ME 04072-1804 - Phone
- (207) 283-8800
- Fax
- (207) 613-2566
- NPI assigned
- Sep 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2934 | ME | Primary |
Addresses
Primary practice location
13 Industrial Park Rd
Saco, ME 04072-1804
Mailing address
13 Industrial Park Rd
Saco, ME 04072-1804
Phone (207) 283-8800
Other practice location 1
716 Stevens Ave
Hersey Hall Rm 108
Portland, ME 04103-2656
Phone (207) 221-4225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
193 Bath Rd
Brunswick, ME 04011-2607
Phone (207) 424-2272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2934 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients |
Locations
600 Center St
Auburn, ME 04210
Phone (207) 783-8951
193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272
235 High St
Ellsworth, ME 04605
Phone (207) 412-5200
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Ellsworth, ME
- NPI 1780375220
-
- Urgent Care Clinic/Center
- Sanford, ME
- NPI 1821789363
-
- Urgent Care Clinic/Center
- Sturbridge, MA
- NPI 1386526192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1184403750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 INDUSTRIAL PARK RD",
"city": "SACO",
"state": "ME",
"postal_code": "040721804",
"telephone_number": "207-283-8800",
"fax_number": "207-613-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 INDUSTRIAL PARK RD",
"city": "SACO",
"state": "ME",
"postal_code": "040721804",
"telephone_number": "207-283-8800",
"fax_number": "207-613-2566"
}
],
"practiceLocations": [
{
"address_1": "716 Stevens Ave",
"address_2": "Hersey Hall Rm 108",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041032656",
"country_code": "US",
"telephone_number": "207-221-4225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASQUERILLO",
"first_name": "ELIAS",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-25",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.