Active NPI
Meaghan Nora Mattera, PA-C
- Physician Assistant
- Augusta, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2688
- Practice address
- 35 Medical Center Pkwy Ste 101
Augusta, ME 04330-8160 - Phone
- (207) 430-4321
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 025263 | NY | |
| Physician Assistant | 363A00000X | 055.0031692 | VT | |
| Physician Assistant | 363A00000X | PA2688 | ME | Primary |
Addresses
Primary practice location
35 Medical Center Pkwy Ste 101
Augusta, ME 04330-8160
Mailing address
35 Medical Center Pkwy Ste 101
Augusta, ME 04330-8160
Phone (207) 430-4321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6714296 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 430-4321
Hospital & facility affiliations
- Maine General Medical Center
- Mainehealth Franklin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2688 | ME | MD | Physician Assistant |
| 055.0031692 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Northern Counties Health Care Inc | Current | Accepting new patients | |
| Northern Counties Health Care, Inc. | Current | Accepting new patients |
Locations
35 Medical Center Pkwy
Ste 101
Augusta, ME 04330
Phone (207) 430-4321
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275
165 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-9405
Interoperability endpoints
- mmattera890435@direct.mmc.mainehealth.org
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Federally Qualified Health Center (FQHC)
- St Johnsbury, VT
- NPI 1649236225
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Federally Qualified Health Center (FQHC)
- Newport, VT
- NPI 1003564931
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Farmington, ME
- NPI 1922791417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1578059200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY STE 101",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-430-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MEDICAL CENTER PKWY STE 101",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043308160",
"telephone_number": "207-430-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTERA",
"first_name": "MEAGHAN",
"middle_name": "NORA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "025263",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "055.0031692",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6714296",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.