Individual provider Active NPI

Meaghan Nora Mattera, PA-C

  • Physician Assistant
  • Augusta, ME
National Provider Identifier
1578059200
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2688 Issued in ME
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

Updated by the provider on Feb 24, 2025

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 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

IdentifierTypeStateIssuer
6714296MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230831003519 VT Practitioner - Physician Assistant 7315285244 Reassigns benefits to 1 organization
I20241111002650 ME Practitioner - Physician Assistant 7315285244 Reassigns benefits to 1 organization

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
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

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 Hospital, Augusta, ME, CCN 200039
  • Mainehealth Franklin Hospital Hospital, Farmington, ME, CCN 201316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2688MEMDPhysician Assistant
055.0031692VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 3, 2025 Accepting new patients
Northern Counties Health Care Inc CurrentSince Aug 17, 2023 Accepting new patients
Northern Counties Health Care, Inc. CurrentSince Aug 17, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.