Active NPI
Krista Bellassai, PA
- Medical Physician Assistant
- Belfast, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 018739
- Practice address
- 118 Northport Ave
Belfast, ME 04915-6009 - Phone
- (207) 338-2500
- NPI assigned
- Jul 15, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 018739 | NY | Primary |
Addresses
Primary practice location
118 Northport Ave
Belfast, ME 04915-6009
Mailing address
118 Northport Ave
Belfast, ME 04915-6009
Phone (585) 338-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04247054 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12296 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Medical | Current | Accepting new patients |
| Mainehealth | Past | Accepting new patients |
Locations
118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345
116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
1238 E Ridge Rd
Rochester, NY 14621
Phone (585) 537-3792
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba Maine Medical Partners Otolaryngology
- Otolaryngology Physician
- Portland, ME
- NPI 1649577768
Medical
-
dba Unity Physician Services
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- Clinical Medical Laboratory
- Rochester, NY
- NPI 1720471246
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1194109652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 NORTHPORT AVE",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156009",
"telephone_number": "585-338-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 NORTHPORT AVE",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156009",
"telephone_number": "207-338-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLASSAI",
"first_name": "KRISTA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "018739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04247054",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belfast, ME
- Belfast Drug Company Inc. (Belfast Drug Company)
- Belfast Operations, LLC (Harbor Hill Center)
- Belfast Operations, LLC (Harbor Hill Center)
- Belfast Pediatrics, LLC
- Belfast Public Health Nursing
- Benjamin Borkan LCSW LLC
- Athena Bennett, LCSW
- Jane P Bennett
- Diane Palmer Bergey, OTR
- Annesley Elizabeth Lord Beringer, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.