Individual provider Active NPI

Meredith Moses, PA

  • Physician Assistant
  • Bethel, ME
National Provider Identifier
1801127394
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA260 Issued in ME
Practice address
32 Railroad Street
Bethel, ME 04217-1367
Phone
(207) 824-2193
Fax
(207) 824-3005
NPI assigned
Jan 22, 2010
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA260 ME Primary
Physician Assistant 363A00000X NU

Addresses

Primary practice location

32 Railroad Street
Bethel, ME 04217-1367

Mailing address

PO Box 1367
32 Railroad Street
Bethel, ME 04217-1367
Phone (207) 824-2193

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
I20100429000552 ME Practitioner - Physician Assistant 3678608205 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houlton Regional HospitalGroup PAC ID 0042127946, 59 clinicians
St Joseph HospitalGroup PAC ID 6406766336, 197 clinicians

Practice addresses (Care Compare)

20 Hartford St
Houlton, ME 04730-1859

360 Broadway
Bangor, ME 04401-3979
Phone (207) 907-1770

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Mar 24, 2022 Accepting new patients
St. Joseph Hospital CurrentSince Dec 1, 2025 Accepting new patients
Houlton Regional Hospital CurrentSince Dec 1, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Jun 2, 2019 Accepting new patients

Locations

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

489 State St
Bangor, ME 04401
Phone (207) 973-8837

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

Interoperability endpoints

  • Direct secure messaging: merry.moses.1@15948.direct.athenahealth.com

Organizations & group practices 7

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 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": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1801127394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1367",
            "address_2": "32 RAILROAD STREET",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042171367",
            "telephone_number": "207-824-2193",
            "fax_number": "207-824-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 RAILROAD STREET",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "042171367",
            "telephone_number": "207-824-2193",
            "fax_number": "207-824-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "MEREDITH",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA260",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, ME

Sources for this page

Verify at the official NPI Registry.