Zachary Wissman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1620 Issued in ME

Practice address

47 Main St
Coopers Mills, ME 04341-0207

Phone

(207) 549-7581

Fax

(207) 549-3439

NPI assigned

Jul 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Healthreach Community Health CentersGroup PAC ID 5496726523, shared by 12 NPIs, 87 clinicians

Martin'S Point Health Care, Inc.Group PAC ID 5991776635, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maine General Medical Center Hospital, Augusta, ME, CCN 200039
• Lincolnhealth Hospital, Damariscotta, ME, CCN 201302

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zacharywissman@mgh.allscriptsdirect.net
• FHIR API: https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
• Direct secure messaging: zachary.wissman.1@5857.direct.athenahealth.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.

• Martin'S Point Health Care, Inc.

  • Family Medicine Physician
  • Portland, ME
  • NPI 1366474611

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment Care Compare group
• Healthreach Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Coopers Mills, ME
  • NPI 1841263118
  Medicare reassignment NPD
• Healthreach Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Belgrade, ME
  • NPI 1851364632
  Medicare reassignment NPD
• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1083949184

  Physician Assistant

  NPD
• Mainegeneral Medical Center

  • Community/Retail Pharmacy
  • Waterville, ME
  • NPI 1477344976
  NPD
• Healthreach Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Madison, ME
  • NPI 1184698441
  NPD (past)

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

• Mainehealth

  • Critical Access Hospital
  • Damariscotta, ME
  • NPI 1912094806
  Care Compare affiliation

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1750834404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MAIN ST",
            "address_2": "PO BOX 207",
            "city": "COOPERS MILLS",
            "state": "ME",
            "postal_code": "043410207",
            "telephone_number": "207-549-7581",
            "fax_number": "207-549-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAIN ST",
            "city": "COOPERS MILLS",
            "state": "ME",
            "postal_code": "043410207",
            "telephone_number": "207-549-7581",
            "fax_number": "207-549-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSMAN",
        "first_name": "ZACHARY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Marie Sager, LMSW-CC
• Ann R Schaer, PA C
• Alexa A Shea, PA
• Anna Shepard
• Deirdre R Vander Schaaf, FNP
• Kathryn Wistar, MD

• Physician Assistant in Coopers Mills, ME
• Providers in Coopers Mills, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.