Individual provider Active NPI

Lisa A Maheu, PA-C

  • Medical Physician Assistant
  • Springfield, MA
National Provider Identifier
1215952239
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2149 Issued in MA
Practice address
300 Stafford St Ste 154
Springfield, MA 01104-3583
Phone
(413) 748-7095
Fax
(413) 733-5604
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AP2149 MA
Medical Physician Assistant 363AM0700X PA2149 MA Primary

Addresses

Primary practice location

300 Stafford St Ste 154
Springfield, MA 01104-3583

Mailing address

2 Medical Center Dr Ste 410
Springfield, MA 01107-1273
Phone (413) 748-7095

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmaheu2294@direct.riverbendmedical.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071105000167 MA Practitioner - Physician Assistant 6204923451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Stafford St
Suite 154
Springfield, MA 01104-3583
Phone (413) 748-7095

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AP2149MAMDPhysician Assistant
PA2149MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Valley Cardiology Associates, Inc CurrentSince Sep 2, 2014 Accepting new patients
Hampden County Cardiovascular PastSince Jun 1, 2014 Accepting new patients
Mwa, PC Past Accepting new patients

Locations

444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111

2 Medical Center Dr
Ste 410
Springfield, MA 01107
Phone (413) 781-5735

300 Stafford St
Ste 101
Springfield, MA 01104
Phone (413) 732-1928

300 Stafford St
Ste 154
Springfield, MA 01104
Phone (413) 748-7095

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lmaheu2389901@direct.trinity-health.org

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1215952239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR STE 410",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071273",
            "telephone_number": "413-748-7095",
            "fax_number": "413-732-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST STE 154",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043583",
            "telephone_number": "413-748-7095",
            "fax_number": "413-733-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHEU",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "AP2149",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA2149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmaheu2294@direct.riverbendmedical.com",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "300 Stafford St Ste 154",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011043583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.