NPIMap

Individual provider Active NPI

Eleanor V Grover, PA-C

  • Physician Assistant
  • Presque Isle, ME
National Provider Identifier
1730191172
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-131 Issued in ME
Practice address
181 Academy St
Suite 4
Presque Isle, ME 04769-3178
Phone
(207) 764-7200
Fax
(207) 764-7201
NPI assigned
Aug 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 PA-131 ME Primary

Addresses

Primary practice location

181 Academy St
Suite 4
Presque Isle, ME 04769-3178

Mailing address

181 Academy St
Suite 4
Presque Isle, ME 04769-3178
Phone (207) 764-7200

Other identifiers 1

IdentifierTypeStateIssuer
P00206657OtherMERR MEDICARE

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
I20040109000314 ME Practitioner - Physician Assistant 3678473485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Health Care, LLCGroup PAC ID 9335102094, 2 clinicians

Practice addresses (Care Compare)

167 Academy St
Suite C
Presque Isle, ME 04769-3167
Phone (207) 764-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.48 of 100Reported as group
Quality
45
Improvement activities
40
Cost
81.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-131MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Aroostook Medical Center CurrentSince Oct 2, 2003 Accepting new patients
Full Circle Health Care, LLC CurrentSince Oct 1, 2004 Accepting new patients
Ibis Health Services- Massachusetts, LLC Past Accepting new patients
Central Aroostook Psychiatric Services LLC Past Accepting new patients

Locations

167 Academy St
Ste C
Presque Isle, ME 04769
Phone (207) 764-7200

180 Academy St
Ste 5
Presque Isle, ME 04769
Phone (207) 764-7200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8639/brand/1/csg/1/fhir/r4

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 4

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730191172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 ACADEMY ST",
            "address_2": "SUITE 4",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693178",
            "telephone_number": "207-764-7200",
            "fax_number": "207-764-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ACADEMY ST",
            "address_2": "SUITE 4",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693178",
            "telephone_number": "207-764-7200",
            "fax_number": "207-764-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "ELEANOR",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA-131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00206657",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.