Crystal Lee Macclintock, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1455 Issued in ME

Practice address

891 W Main St
Suite 200
Dover Foxcroft, ME 04426-1059

Phone

(207) 564-4464

NPI assigned

Jan 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pai Participant 7 PCGroup PAC ID 2466788906, 31 clinicians

MRH CorpGroup PAC ID 1355770892, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Mayo Hospital Hospital, Dover Foxcroft, ME, CCN 201309
• Northern Light C a Dean Hospital Hospital, Greenville, ME, CCN 201301
• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmacclintock@mayohospital.cernerdirect.com

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.

• Pai Participant 7 PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Falmouth, ME
  • NPI 1548829872
  Medicare reassignment Care Compare group NPD
• MRH Corp.

  • Critical Access Hospital
  • Dover Foxcroft, ME
  • NPI 1558319103
  Medicare reassignment Care Compare group
• Charles a Dean Memorial Hospital

  • Critical Access Hospital
  • Greenville, ME
  • NPI 1659388213
  Medicare reassignment NPD
• Maine Medical Consultants PC

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1619519873
  Medicare reassignment
• Eastern Maine Healthcare Systems

  • Medicare Defined Swing Bed Hospital Unit
  • Greenville, ME
  • NPI 1104834977
  NPD
• MRH Corp.

  • Medicare Defined Swing Bed Hospital Unit
  • Dover Foxcroft, ME
  • NPI 1548463623
  NPD
• MRH Corp.

  • Family Medicine Physician
  • Dover Foxcroft, ME
  • NPI 1548382328
  NPD (past)

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

• Charles a Dean Memorial Hospital

  • Critical Access Hospital
  • Greenville, ME
  • NPI 1659388213
  Care Compare affiliation
• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Care Compare affiliation
• MRH Corp.

  • Critical Access Hospital
  • Dover Foxcroft, ME
  • NPI 1558319103
  Care Compare affiliation

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1700024783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261059",
            "telephone_number": "207-564-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261059",
            "telephone_number": "207-564-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCLINTOCK",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmacclintock@mayohospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Northern Light Mayo Hospital Cerner Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "891 W Main St",
            "address_2": "Suite 200",
            "city": "Dover Foxcroft",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044261059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Medical Physician Assistant in Dover Foxcroft, ME
• Providers in Dover Foxcroft, ME by specialty
• Medical Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.

Verify at the official NPI Registry.