NPIMap

Individual provider Active NPI

Elizabeth Whitney, PA-C

  • Physician Assistant
  • Portland, ME
National Provider Identifier
1376612671
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1600B Congress St
Portland, ME 04102
Phone
(207) 774-5222
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA-897 ME
Physician Assistant 363A00000X PA897 ME
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1600B Congress St
Portland, ME 04102

Mailing address

1600B Congress St
Portland, ME 04102-2124
Phone (207) 774-5222

Other practice location 1

1600B Congress St
Portland, ME 04102
Phone (207) 774-5222

Other practice location 2

1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 283-7937

Other identifiers 1

IdentifierTypeStateIssuer
432093899MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000458 ME Practitioner - Physician Assistant 8527073527 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

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

9 Healthcare Dr
Biddeford, ME 04005-9449
Phone (207) 283-0998

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-897MEMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Feb 22, 2012 Accepting new patients
Maine Medical Partners CurrentSince Feb 22, 2012 Accepting new patients
Mainehealth CurrentSince Jan 4, 2016 Accepting new patients
Maine Medical Partners Surgical CurrentSince Apr 1, 2021 Accepting new patients
Mainehealth CurrentSince Feb 22, 2012 Accepting new patients
Mainehealth CurrentSince Feb 22, 2012 Accepting new patients

Locations

3 Medical Center Dr
Biddeford, ME 04005
Phone (207) 284-4597

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

1600 Congress St
Ste B
Portland, ME 04102
Phone (207) 774-5222

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

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

96 Campus Dr
Ste 1
Scarborough, ME 04074
Phone (207) 396-5611

Interoperability endpoints

  • Direct secure messaging: elizabeth.whitney@direct.smhc.mainehealth.org
  • Direct secure messaging: ewhitney37601@direct.mmc.mainehealth.org

Organizations & group practices 9

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1376612671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600B CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022124",
            "telephone_number": "207-774-5222",
            "fax_number": "207-761-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600B CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-774-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600B Congress St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "04102",
            "country_code": "US",
            "telephone_number": "207-774-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040059422",
            "country_code": "US",
            "telephone_number": "207-283-7937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA-897",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA897",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432093899",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.