Individual provider Active NPI

Maurice Andre Paquette II, PA-C

  • Emergency Medicine Physician
  • Plattsburgh, NY
National Provider Identifier
1386291185
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
025695 Issued in NY
Practice address
75 Beekman St
Plattsburgh, NY 12901-1427
Phone
(518) 562-7377
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 055.0031486 VT
Emergency Medicine Physician 207P00000X 0010-09362 NC
Emergency Medicine Physician 207P00000X 025695 NY Primary

Addresses

Primary practice location

75 Beekman St
Plattsburgh, NY 12901-1427

Mailing address

13 W Center Street
Winooski, VT 05404
Phone (802) 881-3478

Other practice location 1

2301 Erwin Rd # Dumc3096
Durham, NC 27705-4699
Phone (919) 684-8111

Other practice location 2

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201218000632 NY Practitioner - Physician Assistant 4789018755 Reassigns benefits to 2 organizations
I20201229000600 VT Practitioner - Physician Assistant 4789018755 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-09362NCMDEmergency Medicine Physician
055.0031486VTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center Inc CurrentSince Nov 30, 2020 Accepting new patients
Alice Hyde Medical Center Physician Assistant CurrentSince Aug 4, 2024 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Nov 30, 2020 Accepting new patients
University of Vermont Medical Center Inc Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Northwestern Medical Center, Inc CurrentSince Nov 30, 2020 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

Interoperability endpoints

  • Direct secure messaging: mpaquette129131@direct.uvmhealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1386291185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 W CENTER STREET",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "05404",
            "telephone_number": "802-881-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BEEKMAN ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011427",
            "telephone_number": "518-562-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd # Dumc3096",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAQUETTE",
        "first_name": "MAURICE",
        "middle_name": "ANDRE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VT",
            "license": "055.0031486",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "0010-09362",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "025695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.