NPIMap

Individual provider Active NPI

Peter A Igneri, PA-C, MMSC

  • Physician Assistant
  • Portland, ME
National Provider Identifier
1811910904
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1691 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(207) 662-0111
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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 055-0030663 VT
Physician Assistant 363A00000X PA1691 ME Primary

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7800

Other practice location 1

111 Colchester Ave
fletcher 4
Burlington, VT 05401-1473
Phone (802) 847-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180117002536 ME Practitioner - Physician Assistant 7012088263 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, shared by 7 NPIs, 305 clinicians

Practice addresses (Care Compare)

11 Rock Row
Westbrook, ME 04092-4877

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 871-2571

33 Sewall St
Portland, ME 04102-2603

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1691MEMDPhysician Assistant
055-0030663VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Partners, P.a CurrentSince Apr 1, 2025 Accepting new patients
Mainehealth CurrentSince Dec 6, 2017 Accepting new patients
Mainehealth CurrentSince Nov 1, 2018 Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Jun 24, 2019 Accepting new patients
Spectrum Healthcare Partners, PA Physician Assistant CurrentSince Jun 24, 2019 Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients
Porter Hospital, Inc PastSince Jul 1, 2016 Accepting new patients

Locations

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

33 Sewall St
Portland, ME 04102
Phone (207) 772-0076

22 Bramhall St
#C
Portland, ME 04102

33 Sewall St
Fl 1
Portland, ME 04102

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861

11 Rock Row
Ste 2A
Westbrook, ME 04092
Phone (207) 289-3001

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

Interoperability endpoints

  • Direct secure messaging: pigneri197443@direct.mmc.mainehealth.org

Organizations & group practices 10

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1811910904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800",
            "fax_number": "207-956-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_2": "fletcher 4",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-3790",
            "fax_number": "802-847-5579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGNERI",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C, MMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055-0030663",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.