Individual provider Active NPI

Shawn McGlew, PA-C

  • Physician Assistant
  • Augusta, ME
National Provider Identifier
1417918665
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA413 Issued in ME
Practice address
442 Civic Center Dr
Suite 150
Augusta, ME 04330-8572
Phone
(207) 622-6319
Fax
(207) 622-6654
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA413 ME Primary

Addresses

Primary practice location

442 Civic Center Dr
Suite 150
Augusta, ME 04330-8572

Mailing address

442 Civic Center Dr
Suite 150
Augusta, ME 04330-8572
Phone (207) 622-6319

Other identifiers 1

IdentifierTypeStateIssuer
154420000MedicaidME

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000654 ME Practitioner - Physician Assistant 6800856600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

10 Water St
Suite 202
Waterville, ME 04901-4539

10 Water St
Suite 202
Waterville, ME 04901-6565

15 Enterprise Dr
Augusta, ME 04330-7997
Phone (207) 621-8700

325 B Kennedy Memorial Dr
Waterville, ME 04901-4562
Phone (207) 873-6173

442 Civic Ctr Dr
Augusta, ME 04330-8572
Phone (207) 622-6319

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA413MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center CurrentSince Apr 23, 2012 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 23, 2012 Accepting new patients
William E. Bennett, M.D. P.a Past Accepting new patients
Urgentcare of Maine, P.a. PastSince Mar 31, 2008 Accepting new patients
Mainegeneral Medical Center Past Accepting new patients

Locations

442 Civic Center Dr
Augusta, ME 04330
Phone (207) 622-6319

442 Civic Center Dr
Ste 150
Augusta, ME 04330
Phone (207) 622-6319

150 Dresden Ave
Gardiner, ME 04345
Phone (207) 621-9337

376 Main St
#64
Jackman, ME 04945
Phone (207) 668-2691

11 Evergreen Dr
Oakland, ME 04963
Phone (207) 861-5050

9 Pleasant St
Ste 2
Oakland, ME 04963
Phone (207) 465-2700

325 Kennedy Memorial Dr
#C
Waterville, ME 04901
Phone (207) 872-9511

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: shawnmcglew@mgh.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1417918665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 CIVIC CENTER DR",
            "address_2": "SUITE 150",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308572",
            "telephone_number": "207-622-6319",
            "fax_number": "207-622-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 CIVIC CENTER DR",
            "address_2": "SUITE 150",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308572",
            "telephone_number": "207-622-6319",
            "fax_number": "207-622-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLEW",
        "first_name": "SHAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154420000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.