Active NPI
Madison Scott Creighton, PA-C
- Physician Assistant
- South Portland, ME
National Provider Identifier
1245865559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2979
- Practice address
- 119 Gannett Dr
South Portland, ME 04106-6942 - Phone
- (207) 773-0040
- Fax
- (207) 661-4630
- NPI assigned
- Mar 6, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2979 | ME | Primary |
Addresses
Primary practice location
119 Gannett Dr
South Portland, ME 04106-6942
Mailing address
119 Gannett Dr
South Portland, ME 04106-6942
Phone (207) 773-0040
Other practice location 1
136 Harrison Ave Ste 207
Boston, MA 02111-1817
Phone (617) 636-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Tufts University School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
119 Gannett Dr
South Portland, ME 04106-6942
Phone (207) 773-0040
800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2979 | ME | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
119 Gannett Dr
South Portland, ME 04106
Phone (207) 773-0040
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Orthopaedic Surgery Physician
- Boston, MA
- NPI 1528107380
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Maternal & Fetal Medicine Physician
- Portland, ME
- NPI 1063726891
Hospital & facility affiliations 37
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1245865559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 GANNETT DR",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066942",
"telephone_number": "207-773-0040",
"fax_number": "207-661-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 GANNETT DR",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041066942",
"telephone_number": "207-773-0040",
"fax_number": "207-661-4630"
}
],
"practiceLocations": [
{
"address_1": "136 Harrison Ave Ste 207",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021111817",
"country_code": "US",
"telephone_number": "617-636-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREIGHTON",
"first_name": "MADISON",
"middle_name": "SCOTT",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-06",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.