Individual provider Active NPI

Ashleigh Michelle Knoeferl, PA-C

  • Physician Assistant
  • Belfast, ME
National Provider Identifier
1235705740
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2601 Issued in ME
Practice address
116 Northport Ave Ste 214
Belfast, ME 04915-6096
Phone
(207) 505-4398
Fax
(207) 560-9920
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2601 ME Primary

Addresses

Primary practice location

116 Northport Ave Ste 214
Belfast, ME 04915-6096

Mailing address

116 Northport Ave Ste 214
Belfast, ME 04915-6096
Phone (207) 505-4398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211020002005 NC Practitioner - Physician Assistant 2567850761 Reassigns benefits to 1 organization
I20240124002338 ME Practitioner - Physician Assistant 2567850761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8969

Hospital & facility affiliations

  • Mainehealth Waldo Hospital Hospital, Belfast, ME, CCN 201312
  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2601MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 2, 2024 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Oct 11, 2021 Accepting new patients
Mainehealth CurrentSince Jul 1, 2025 Accepting new patients
Mainehealth CurrentSince Jan 2, 2024 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Oct 11, 2021 Accepting new patients

Locations

116 Northport Ave
Ste 214
Belfast, ME 04915
Phone (207) 505-4398

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3009 New Bern Ave
Raleigh, NC 27610
Phone (919) 232-5021

Interoperability endpoints

  • Direct secure messaging: aknoeferl644655@direct.mmc.mainehealth.org

Organizations & group practices 7

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 2

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1235705740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 NORTHPORT AVE STE 214",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156096",
            "telephone_number": "207-505-4398",
            "fax_number": "207-560-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 NORTHPORT AVE STE 214",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156096",
            "telephone_number": "207-505-4398",
            "fax_number": "207-560-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOEFERL",
        "first_name": "ASHLEIGH",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

Verify at the official NPI Registry.