Individual provider Active NPI

Annie M Rice, PA-C

  • Medical Physician Assistant
  • Portland, ME
National Provider Identifier
1588092670
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1428 Issued in ME
Practice address
20 Portland St
Portland, ME 04101-2912
Phone
(207) 874-8445
Fax
(207) 874-8975
NPI assigned
Oct 29, 2013
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 PA1428 ME
Medical Physician Assistant 363AM0700X PA1428 ME Primary

Addresses

Primary practice location

20 Portland St
Portland, ME 04101-2912

Mailing address

389 Congress St
Room 307
Portland, ME 04101-3566
Phone (207) 874-8784

Other practice location 1

57 Birch St Ste 102
Lewiston, ME 04240-7415
Phone (207) 753-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arice615003@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
I20141001000291 ME Practitioner - Physician Assistant 2365662061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Clinical Services IncGroup PAC ID 0042101099, 15 clinicians

Practice addresses (Care Compare)

100 Campus Ave
Suite 208
Lewiston, ME 04240-6069
Phone (207) 777-8974

57 Birch St
Lewiston, ME 04240-7415
Phone (207) 753-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1428MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Regional Medical Center CurrentSince Mar 26, 2020 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Mar 26, 2020 Accepting new patients
Community Clinical Services, Inc. CurrentSince Jul 14, 2014 Accepting new patients
Community Clinical Services, Inc CurrentSince Jul 14, 2014 Accepting new patients

Locations

106 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3383

57 Birch St
Ste 102
Lewiston, ME 04240
Phone (207) 753-5400

100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974

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

Interoperability endpoints

  • Direct secure messaging: arice1155045@direct.bsmhealth.org

Organizations & group practices 6

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 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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1588092670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 CONGRESS ST",
            "address_2": "ROOM 307",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013566",
            "telephone_number": "207-874-8784",
            "fax_number": "207-874-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PORTLAND ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012912",
            "telephone_number": "207-874-8445",
            "fax_number": "207-874-8975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Birch St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407415",
            "country_code": "US",
            "telephone_number": "207-753-5400",
            "fax_number": "207-786-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "ANNIE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1428",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA1428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arice615003@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "57 Birch St Ste 102",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042407415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.