NPIMap

Individual provider Active NPI

Elizabeth B. Pierce, DO

  • Family Medicine Physician
  • Yarmouth, ME
National Provider Identifier
1609817055
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1563 Issued in ME
Practice address
60 Forest Falls Dr
Ste 5
Yarmouth, ME 04096-6971
Phone
(207) 847-9200
Fax
(207) 847-3501
NPI assigned
Jun 9, 2006
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1563 ME Primary

Addresses

Primary practice location

60 Forest Falls Dr
Ste 5
Yarmouth, ME 04096-6971

Mailing address

60 Forest Falls Dr
Ste 5
Yarmouth, ME 04096-6971
Phone (207) 847-9200

Other identifiers 2

IdentifierTypeStateIssuer
080193647OtherMEDICARE RAILROAD
5599661OtherAETNA PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000839 ME Practitioner - Family Practice 9436193760 Reassigns benefits to 1 organization
Practice locations: Yarmouth, ME

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Riverview Physical Therapy Limited PartnershipGroup PAC ID 2769393586, shared by 2 NPIs, 58 clinicians

Practice addresses (Care Compare)

50 Forest Falls Dr
Yarmouth, ME 04096-6937

60 Forest Falls Dr
Suite 5
Yarmouth, ME 04096-6971
Phone (207) 847-9200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1563MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth B. Pierce, DO, PA Family Medicine CurrentSince Jul 1, 1998 Accepting new patients

Locations

10 Forest Falls Dr
Stop 11
Yarmouth, ME 04096
Phone (207) 847-9200

60 Forest Falls Dr
Ste 5
Yarmouth, ME 04096
Phone (207) 699-3838

Interoperability endpoints

  • Direct secure messaging: elizabeth.pierce.1@21247.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21247/brand/2/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1609817055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FOREST FALLS DR",
            "address_2": "STE 5",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966971",
            "telephone_number": "207-847-9200",
            "fax_number": "207-847-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FOREST FALLS DR",
            "address_2": "STE 5",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966971",
            "telephone_number": "207-847-9200",
            "fax_number": "207-847-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "ELIZABETH",
        "middle_name": "B.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080193647",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "5599661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth, ME

Sources for this page

Verify at the official NPI Registry.