Kenni Ashey, PA
Individual provider Active NPI Physician Assistant · Hampden, ME
NPI 1750832911 · NPPES record last updated Apr 11, 2018
Key facts
- NPI
- 1750832911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA364 (ME)
- Practice address
- 7 Main Rd N
Hampden, ME 04444-1334 - Phone
- (207) 862-9400
- NPI assigned
- Oct 21, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Maine Medical Center
Practice addresses (Care Compare)
302 Husson Ave
Bangor, ME 04401-3374
Phone (207) 947-6141
417 State St
Suite 20
Bangor, ME 04401-6637
Phone (207) 275-1500
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
7 Main Rd N
Northern Light Primary
Hampden, ME 04444-1334
Phone (207) 862-9400
Hospital & facility affiliations
- Northern Light Home Care & Hospice
- Northern Light Eastern Maine Medical Center
- St Joseph Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161129001439 | ME | Practitioner - Physician Assistant | 6507146024 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current |
Accepting new patients |
Locations
489 State St
Bangor, ME 04401
Phone (207) 973-8837
7 Main Rd N
Hampden, ME 04444
Phone (207) 862-9400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA364 | ME | Yes |
Addresses
Primary practice location
7 Main Rd N
Hampden, ME 04444-1334
Mailing address
43 Whiting Hill Road
Suite 300
Brewer, ME 04412
Other providers in Hampden, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.