Individual provider Active NPI

Lisa M Allen, PA-C

  • Physician Assistant
  • Ellsworth, ME
National Provider Identifier
1851543698
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA001145 Issued in ME
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.

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 397 clinicians

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 100Reported as group
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, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
C5-0012136DEMDPhysician Assistant
PA001145MEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Aug 1, 2023 Accepting new patients
Convenientmd - FFS UC LLC Past Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 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)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0012136 DE
Physician Assistant 363A00000X PA001145 ME Primary

Addresses

NPPES NPI Registry

Primary 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 Former name

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

Verify at the official NPI Registry.