Tyler Atkinson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2395 Issued in ME

Practice address

13 Industrial Park Rd
Saco, ME 04072-1804

Phone

(207) 283-8800

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

No

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

  ME

  Medicare reassignment Care Compare group NPD
• Mercy Hospital

  • Rural Health Clinic/Center
  • Windham, ME
  • NPI 1396496378
  Care Compare group NPD
• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD

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

• Mainehealth

  • Orthopaedic Trauma Physician
  • Portland, ME
  • NPI 1003113127

  Hospital

  Care Compare affiliation
• Mainehealth

  • Internal Medicine Physician
  • Windham, ME
  • NPI 1023321593

  Hospital

  Care Compare affiliation
• Mainehealth

  • General Acute Care Hospital
  • Scarborough, ME
  • NPI 1053647024

  Hospital

  Care Compare affiliation
• Mainehealth

  • Maternal & Fetal Medicine Physician
  • Portland, ME
  • NPI 1063726891

  Hospital

  Care Compare affiliation
• Mainehealth

  • Infectious Disease Physician
  • Portland, ME
  • NPI 1073701157

  Hospital

  Care Compare affiliation
• Mainehealth

  • Geriatric Medicine (Internal Medicine) Physician
  • Portland, ME
  • NPI 1164610242

  Hospital

  Care Compare affiliation
• Mainehealth

  • Pediatric Critical Care Medicine Physician
  • Portland, ME
  • NPI 1265536817

  Hospital

  Care Compare affiliation
• Mainehealth

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1346267879

  Hospital

  Care Compare affiliation
• Mainehealth

  • Endocrinology, Diabetes & Metabolism Physician
  • Scarborough, ME
  • NPI 1356651038

  Hospital

  Care Compare affiliation
• Mainehealth

  • Surgery Physician
  • Portland, ME
  • NPI 1376981993

  Hospital

  Care Compare affiliation
• Mainehealth

  • Pediatric Urology Physician
  • Portland, ME
  • NPI 1457540486

  Hospital

  Care Compare affiliation
• Mainehealth

  • Gastroenterology Physician
  • Portland, ME
  • NPI 1477850592

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Hospital 307 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008
• Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tatkinson552482@direct.mmc.mainehealth.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2022.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1376273243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 SHERWOOD ST APT 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035323",
            "telephone_number": "401-649-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 INDUSTRIAL PARK RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721804",
            "telephone_number": "207-283-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas M Anderson
• Matthew Anderson
• Anne Savona LCSW PA
• Stephen George Arsenault, OD
• Robert Allen Ashley, M.D.
• Hadley W Austin Jr., LADC
• Kevin Aylward, PT, DPT
• Jamie S Baburek, LCPC
• Lacey M Bailey, CADC
• Meret Claudia Bainbridge, L.AC., M.AC.O.M.

• All providers in Saco, ME
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.