Individual provider Active NPI

Peter E Morningstar, MC

  • Pediatrics Physician
  • Presque Isle, ME
National Provider Identifier
1316943996
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
016420 Issued in ME
Practice address
23 North St
Presque Isle, ME 04769-2291
Phone
(207) 764-5437
Fax
(207) 764-4760
NPI assigned
Jun 28, 2005
Last updated
Jun 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 016420 ME Primary

Addresses

Primary practice location

23 North St
Presque Isle, ME 04769-2291

Mailing address

23 North St
Presque Isle, ME 04769-2291
Phone (207) 764-5437

Other identifiers 3

IdentifierTypeStateIssuer
3566877OtherMEAETNA
023021OtherMEANTHEM BLUE CROSS
410210099MedicaidME

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809000726 ME Practitioner - Pediatric Medicine 4981676160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Aroostook Medical CenterGroup PAC ID 1153233663, 117 clinicians
Pines Health ServicesGroup PAC ID 0749275113, 58 clinicians

Practice addresses (Care Compare)

118 Bennett Dr
Suite 150
Caribou, ME 04736-2062
Phone (207) 498-3502

140 Academy St
Presque Isle, ME 04769-3102

146 Academy St
Presque Isle, ME 04769-3102

66 Spruce St
Suite 4
Presque Isle, ME 04769-3222
Phone (207) 769-2025

PO Box
Suite 40
Caribou, ME 04736

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
71.56
Promoting interoperability
96
Improvement activities
40
Cost
76.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016420MEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Aroostook Medical Center CurrentSince Jan 21, 2013 Accepting new patients
City of Caribou CurrentSince May 31, 2024 Accepting new patients
Pines Health Services CurrentSince May 31, 2024 Accepting new patients
Pines Health Services Pediatrics CurrentSince May 31, 2024 Accepting new patients
The Aroostook Medical Center CurrentSince Jan 21, 2013 Accepting new patients

Locations

931 Union St
Fl 3
Bangor, ME 04401

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

74 Access Hwy
Caribou, ME 04736
Phone (207) 498-2350

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

23 North St
Presque Isle, ME 04769
Phone (207) 760-9278

66 Spruce St
Ste 4
Presque Isle, ME 04769
Phone 20749823592023

Interoperability endpoints

  • Direct secure messaging: pmorningstar706871@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northern Light a.R. Gould HospitalPresque Isle, ME, CCN 20U018 Hospital Corporate Director Jan 21, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1316943996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NORTH ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692291",
            "telephone_number": "207-764-5437",
            "fax_number": "207-764-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692291",
            "telephone_number": "207-764-5437",
            "fax_number": "207-764-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORNINGSTAR",
        "first_name": "PETER",
        "middle_name": "E",
        "credential": "MC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "016420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3566877",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "023021",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410210099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.