Allison Maria Gagnon, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA001251 Issued in ME

Practice address

77 Bates St
Suite 103
Lewiston, ME 04240-7637

Phone

(207) 777-4460

Fax

(207) 777-4466

NPI assigned

Jan 5, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Philadelphia College of Osteopathic Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy HospitalGroup PAC ID 6103737812, 307 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008
• Maine General Medical Center Hospital, Augusta, ME, CCN 200039
• Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063
• Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317

Merit-based Incentive Payment System (MIPS)

Final score

81.67 of 100Reported as group

Quality

60.7

Promoting interoperability

91

Improvement activities

40

Cost

73.8

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  Medicare reassignment Care Compare group
• Mercy Hospital

  • Rural Health Clinic/Center
  • Windham, ME
  • NPI 1396496378
  NPD
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1427313048
  NPD (past)

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

• Mainehealth

  • General Acute Care Hospital
  • Rockport, ME
  • NPI 1982645305
  Care Compare affiliation
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1427313048
  Care Compare affiliation
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  Care Compare affiliation
• Northern Maine Medical Center

  • Multi-Specialty Clinic/Center
  • Fort Kent, ME
  • NPI 1144073297

  Hospital

  Care Compare affiliation
• Northern Maine Medical Center

  • Multi-Specialty Clinic/Center
  • Madawaska, ME
  • NPI 1285487330

  Hospital

  Care Compare affiliation
• Northern Maine Medical Center

  • Critical Access Hospital
  • Fort Kent, ME
  • NPI 1568465144
  Care Compare affiliation

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1275837270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BATES ST",
            "address_2": "SUITE 103",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407637",
            "telephone_number": "207-777-4460",
            "fax_number": "207-777-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BATES ST",
            "address_2": "SUITE 103",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407637",
            "telephone_number": "207-777-4460",
            "fax_number": "207-777-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "ALLISON",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA001251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYED BY HOSPITAL",
            "identifier": "010211551",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Gabrielski, CADC
• Alyssa Ann Gagne
• Amanda Gagne, OTR/L
• Samantha Gagne
• Tracy Gagne, SLP
• Amanda J Gagnon, DO
• Cassandra Ann Gagnon, LD
• Marc Gagnon, OT
• Jerrold T. Gale, M.D.
• Stephen Gallagher, MD

• Surgical Physician Assistant in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Surgical Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.

Verify at the official NPI Registry.