Individual provider Active NPI

Paula Spanos, NP

  • Family Nurse Practitioner
  • Scarborough, ME
National Provider Identifier
1801183470
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP111035 Issued in ME
Practice address
153 US Route 1
Scarborough, ME 04074-9052
Phone
(207) 799-8596
Fax
(207) 799-1730
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP111035 ME Primary

Addresses

Primary practice location

153 US Route 1
Scarborough, ME 04074-9052

Mailing address

PO Box 9746
Portland, ME 04104-5040
Phone (207) 791-3888

Other names 1

  • Paula Spanos-Kozlow Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paula.spanos.1@5857.direct.athenahealth.com

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
I20110902000514 ME Practitioner - Nurse Practitioner 0840460697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metabolic Leader LLCGroup PAC ID 7315135423, 3 clinicians

Practice addresses (Care Compare)

51 US Route 1
Suite H
Scarborough, ME 04074-7134
Phone (207) 396-6433

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP111035MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metabolic Leader LLC CurrentSince Dec 22, 2016 Accepting new patients

Locations

51 US Route 1
Ste H
Scarborough, ME 04074
Phone (207) 396-6433

Interoperability endpoints

  • Direct secure messaging: paula.spanos.1@2690.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2690/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1801183470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9746",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045040",
            "telephone_number": "207-791-3888",
            "fax_number": "207-828-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749052",
            "telephone_number": "207-799-8596",
            "fax_number": "207-799-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANOS",
        "first_name": "PAULA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP111035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paula.spanos.1@5857.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "153 US Route 1",
            "city": "Scarborough",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040749052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "SPANOS-KOZLOW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.