Individual provider Active NPI

Monica J White Trask, PA-C

  • Physician Assistant
  • Augusta, ME
National Provider Identifier
1740522648
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1381 Issued in ME
Practice address
219 Capitol St
Suite 5
Augusta, ME 04330-6235
Phone
(207) 213-6713
Fax
(207) 213-6785
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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 PA1381 ME Primary

Addresses

Primary practice location

219 Capitol St
Suite 5
Augusta, ME 04330-6235

Mailing address

219 Capitol St 5
Augusta, ME 04330-6237
Phone (207) 213-6713

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
I20130531000343 ME Practitioner - Physician Assistant 8527206622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Family Focused Healthcare PLLCGroup PAC ID 1355669839, 3 clinicians

Practice addresses (Care Compare)

219 Capitol St
Suite 5
Augusta, ME 04330-6237
Phone (207) 213-6713

Hospital & facility affiliations

  • Andwell Health Partners Home health agency, Lewiston, ME, CCN 207019
  • Andwell Health Partners Hospice, Lewiston, ME, CCN 201513
  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Community Health Center CurrentSince Dec 3, 2014 Accepting new patients
Penobscot Community Health Center CurrentSince Dec 3, 2014 Accepting new patients
Bridgton Hospital Past Accepting new patients

Locations

1012 Union St
Ste 1
Bangor, ME 04401
Phone 2079455247407

Interoperability endpoints

  • Direct secure messaging: monica.trask.1@28222.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28222/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1740522648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CAPITOL ST 5",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306237",
            "telephone_number": "207-213-6713",
            "fax_number": "207-213-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CAPITOL ST",
            "address_2": "SUITE 5",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306235",
            "telephone_number": "207-213-6713",
            "fax_number": "207-213-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE TRASK",
        "first_name": "MONICA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.