Active NPI
Lisa M Allen, PA-C
- Physician Assistant
- Ellsworth, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA001145
- Practice address
- 32 Resort Way
Maine Coast Pediatrics
Ellsworth, ME 04605-1717 - Phone
- (207) 664-7744
- Fax
- (207) 664-7724
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Worcester, MA
- NPI 1790528628
-
- Urgent Care Clinic/Center
- Nashua, NH
- NPI 1851082291
-
- Urgent Care Clinic/Center
- Auburn, ME
- NPI 1609567106
-
- Urgent Care Clinic/Center
- Sturbridge, MA
- NPI 1386526192
-
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1881367332
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Convenientmd - FFS UC LLC
Practice addresses (Care Compare)
235 High St
Ellsworth, ME 04605-1715
Phone (207) 412-5200
543 Broadway
Bangor, ME 04401-3337
Phone (207) 922-1300
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.48 of 100
- Quality
- 71.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.07
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081112000336 | ME | Practitioner - Physician Assistant | 9537228044 | Reassigns benefits to 1 organization |
| I20241220001690 | DE | Practitioner - Physician Assistant | 9537228044 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0012136 | DE | MD | Physician Assistant |
| PA001145 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Past | Accepting new patients | |
| Christiana Care Quality Partners | Past | Accepting new patients |
Locations
600 Center St
Auburn, ME 04210
Phone (207) 783-8951
193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272
235 High St
Ellsworth, ME 04605
Phone (207) 412-5200
950 Main St
Westbrook, ME 04092
Phone (207) 517-3800
111 New Hampshire Ave
Portsmouth, NH 03801
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0012136 | DE | |
| Physician Assistant | 363A00000X | PA001145 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
32 Resort Way
Maine Coast Pediatrics
Ellsworth, ME 04605-1717
Mailing address
50 Union St
Maine Coast Memorial Hospital
Ellsworth, ME 04605-1586
Phone (207) 664-5304
Other practice location 1
235 High St
Ellsworth, ME 04605-1715
Phone (207) 412-5200
Other practice location 2
200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701
Other names 1
NPPES NPI Registry- Lisa M Keene
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 16, 2024.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1851543698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 UNION ST",
"address_2": "MAINE COAST MEMORIAL HOSPITAL",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051586",
"telephone_number": "207-664-5304",
"fax_number": "207-664-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 RESORT WAY",
"address_2": "MAINE COAST PEDIATRICS",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051717",
"telephone_number": "207-664-7744",
"fax_number": "207-664-7724"
}
],
"practiceLocations": [
{
"address_1": "235 High St",
"address_purpose": "LOCATION",
"city": "Ellsworth",
"state": "ME",
"postal_code": "046051715",
"country_code": "US",
"telephone_number": "207-412-5200",
"fax_number": "207-412-5201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hygeia Dr",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197132049",
"country_code": "US",
"telephone_number": "302-273-1701",
"fax_number": "302-273-4497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "LISA",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0012136",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA001145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "KEENE",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.