Active NPI
Maurice Andre Paquette II, PA-C
- Emergency Medicine Physician
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 025695
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-09362 | NC | MD | Emergency Medicine Physician |
| 055.0031486 | VT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Center Inc | Current | Accepting new patients | |
| Alice Hyde Medical Center | Physician Assistant | Current | Accepting new patients |
| Northwestern Medical Center, Inc. | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
| Northwestern Medical Center, Inc | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Emergency Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
Emergency Medicine
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1720112659
-
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Emergency Medicine
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538293469
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538442199
-
- Pediatrics Physician
- Saint Albans, VT
- NPI 1003574740
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.