Active NPI
Anna Dulin, PAC
- Physician Assistant
- Augusta, ME
National Provider Identifier
1700801115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-444
- Practice address
- 6 E Chestnut St
Mgha Hospitalist Program
Augusta, ME 04330-5717 - Phone
- (207) 623-6602
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-444 | ME | Primary |
Addresses
Primary practice location
6 E Chestnut St
Mgha Hospitalist Program
Augusta, ME 04330-5717
Mailing address
6 E Chestnut St
Mgha Hospitalist Program
Augusta, ME 04330-5717
Phone (207) 623-6602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287790099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032
P O Box
Suite 1201
Pine Ridge, SD 57770-1201
P O Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201
PO Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201
Hospital & facility affiliations
- Pine Ridge IHS Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.82
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 84.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1525 | SD | MD | Chiropractor |
| PA-444 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients |
Locations
119 S 1st Ave
Martin, SD 57551
Phone (605) 685-2800
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.
-
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
- Clinic/Center
- Martin, SD
- NPI 1003208257
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230508800000",
"number": "1700801115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 E CHESTNUT ST",
"address_2": "MGHA HOSPITALIST PROGRAM",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305717",
"telephone_number": "207-623-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 E CHESTNUT ST",
"address_2": "MGHA HOSPITALIST PROGRAM",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305717",
"telephone_number": "207-623-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULIN",
"first_name": "ANNA",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2008-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA-444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287790099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.