Individual provider Active NPI

Olivia G. June, PA-C

  • Physician Assistant
  • Leeds, ME
National Provider Identifier
1457033771
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
180 Church Hill Rd Ste 1
Leeds, ME 04263-3418
Phone
(207) 524-3501
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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 Primary

Addresses

Primary practice location

180 Church Hill Rd Ste 1
Leeds, ME 04263-3418

Mailing address

1 Kingston Collection Way Apt 352
Kingston, MA 02364-3118

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
I20240516003848 ME Practitioner - Physician Assistant 9335580679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

730 Ctr St
Suite 9
Auburn, ME 04210-6316
Phone (207) 783-3450

Hospital & facility affiliations

  • Andwell Health Partners Home health agency, Lewiston, ME, CCN 207019
  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024
  • St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034
  • Rumford Hospital Hospital, Rumford, ME, CCN 201306
  • Mainehealth Stephens Hospital Hospital, Norway, ME, CCN 201315

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DFD Russell Medical Center Inc CurrentSince Apr 15, 2024 Accepting new patients

Locations

180 Church Hill Rd
#1
Leeds, ME 04263
Phone (207) 524-3501

Interoperability endpoints

  • Direct secure messaging: olivia.june.1@30169.direct.athenahealth.com

Organizations & group practices 1

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 5

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1457033771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KINGSTON COLLECTION WAY APT 352",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023643118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CHURCH HILL RD STE 1",
            "city": "LEEDS",
            "state": "ME",
            "postal_code": "042633418",
            "telephone_number": "207-524-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNE",
        "first_name": "OLIVIA",
        "middle_name": "G.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, ME

Sources for this page

Verify at the official NPI Registry.