Individual provider Active NPI

Brittany A Roy, PA-C

  • Surgical Physician Assistant
  • Auburn, ME
National Provider Identifier
1548638232
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA1560 Issued in ME
Practice address
15 Gracelawn Rd
Auburn, ME 04210-6334
Phone
(207) 333-4710
Fax
(207) 333-4715
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1560 ME
Medical Physician Assistant 363AM0700X PA1560 ME
Surgical Physician Assistant 363AS0400X PA1560 ME Primary

Addresses

Primary practice location

15 Gracelawn Rd
Auburn, ME 04210-6334

Mailing address

PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950

Other names 1

  • Brittany A Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address broy614502@direct-prd.goodhelpconnections.org

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
I20151230001069 ME Practitioner - Physician Assistant 2769784297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

15 Gracelawn Rd
Suite 101
Auburn, ME 04210-6347
Phone (207) 333-4710

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8650

Hospital & facility affiliations

  • St Mary'S Regional Medical Center Hospital, Lewiston, ME, CCN 200034

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1560MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Regional Medical Center CurrentSince Sep 9, 2015 Accepting new patients

Locations

15 Gracelawn Rd
Ste 101
Auburn, ME 04210
Phone (207) 333-4710

15 Gracelawn Rd
Auburn, ME 04210
Phone (207) 333-4799

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

Interoperability endpoints

  • Direct secure messaging: broy1155236@direct.bsmhealth.org

Organizations & group practices 2

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 1

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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1548638232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8950",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GRACELAWN RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106334",
            "telephone_number": "207-333-4710",
            "fax_number": "207-333-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "BRITTANY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1560",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA1560",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA1560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "broy614502@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "15 Gracelawn Rd",
            "city": "Auburn",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042106334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "SMITH",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, ME

Sources for this page

Verify at the official NPI Registry.