NPIMap

Individual provider Active NPI

Gregory P. Raines, P.A.

  • Physician Assistant
  • Worcester, MA
National Provider Identifier
1437394095
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
055-0030949 Issued in VT
Practice address
55 Lake Ave N
Department of Emergency Medicine
Worcester, MA 01655-0002
Phone
(508) 421-1400
Fax
(508) 421-1490
NPI assigned
Dec 11, 2008
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3984 MA
Physician Assistant 363A00000X 055-0030949 VT Primary

Addresses

Primary practice location

55 Lake Ave N
Department of Emergency Medicine
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gregory.Raines@gracecottage.cernerdirect.com Direct CARLOS G OTIS HEALTH CARE CENTER INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20090217000269 VT Practitioner - Physician Assistant 8628133196 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Anna Marsh Lane
Brattleboro, VT 05302

22 Anna Marsh Lane
Brattleboro, VT 05302-2105

289 County Rd
Windsor, VT 05089-9000

PO Box
Suite 216
Townshend, VT 05353

PO Box
Suite 26
Perkinsville, VT 05151-0026

PO Box
Suite 710
Springfield, VT 05156

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3984MAMDPhysician Assistant
055-0030949VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Medical Care Systems Inc CurrentSince Jan 31, 2023 Accepting new patients
Windsor Hospital Corporation CurrentSince Aug 28, 2014 Accepting new patients
Springfield Medical Care Systems Inc. CurrentSince Jan 31, 2023 Accepting new patients
Clearchoicemd, PLLC CurrentSince Jan 17, 2023 Accepting new patients
Boris Orkin,M.D.P.C. Past Accepting new patients
Brattleboro Retreat Past Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

798 US Route 302
#2
Barre, VT 05641
Phone (802) 744-0138

1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292

1 Elm St
Ludlow, VT 05149
Phone (802) 228-8867

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

Interoperability endpoints

  • Direct secure messaging: gregory.raines@gracecottage.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1437394095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-421-1400",
            "fax_number": "508-421-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "GREGORY",
        "middle_name": "P.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA3984",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055-0030949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gregory.Raines@gracecottage.cernerdirect.com",
            "affiliation": "Y",
            "endpointDescription": "EMR based message center",
            "affiliationName": "CARLOS G OTIS HEALTH CARE CENTER INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "185 GRAFTON RD",
            "city": "TOWNSHEND",
            "state": "VT",
            "country_code": "US",
            "postal_code": "05353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.