Individual provider Active NPI

Alison June Ravis, PHYSICIAN ASSSISTANT

  • Physician Assistant
  • Lewiston, ME
National Provider Identifier
1669449286
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA001088 Issued in ME
Practice address
70 Lincoln St
Mill No. 6
Lewiston, ME 04240-7792
Phone
(207) 795-7540
Fax
(207) 795-7528
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA001088 ME Primary

Addresses

Primary practice location

70 Lincoln St
Mill No. 6
Lewiston, ME 04240-7792

Mailing address

70 Lincoln St
Mill No. 6
Lewiston, ME 04240-7792
Phone (207) 795-7540

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
I20071029000206 ME Practitioner - Physician Assistant 7012004757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bates Mill Dermatology PLLCGroup PAC ID 7416971569, 5 clinicians

Practice addresses (Care Compare)

70 Lincoln St
Suite 1B
Lewiston, ME 04240-7791
Phone (207) 795-7540

Hospital & facility affiliations

  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024
  • Mainehealth Stephens Hospital Hospital, Norway, ME, CCN 201315

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA001088MEMDPhysician Assistant

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1669449286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LINCOLN ST",
            "address_2": "MILL NO. 6",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407792",
            "telephone_number": "207-795-7540",
            "fax_number": "207-795-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LINCOLN ST",
            "address_2": "MILL NO. 6",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407792",
            "telephone_number": "207-795-7540",
            "fax_number": "207-795-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVIS",
        "first_name": "ALISON",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA001088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.