Individual provider Active NPI

Kate Ashley Maine, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1881928273
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4528 Issued in AZ
Practice address
2919 S Ellsworth Rd
Mesa, AZ 85212-2164
Phone
(928) 301-0604
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4528 AZ Primary

Addresses

Primary practice location

2919 S Ellsworth Rd
Mesa, AZ 85212-2164

Mailing address

2919 S Ellsworth Rd
Mesa, AZ 85212-2164
Phone (928) 301-0604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100602000324 AZ Practitioner - Physician Assistant 1951430883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilbert Neurology Partners PLLCGroup PAC ID 4587852793, 9 clinicians

Practice addresses (Care Compare)

3507 S Mercy Rd
Suite 101
Gilbert, AZ 85297-0441
Phone (480) 926-0644

7400 S Power Rd
Suite 120
Gilbert, AZ 85297-9283
Phone (480) 926-0644

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
George Wang,MD,LLC Past Accepting new patients
Neurosin PLLC PastSince Feb 1, 2020 Accepting new patients
George Wang,MD,LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1881928273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122164",
            "telephone_number": "928-301-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122164",
            "telephone_number": "928-301-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINE",
        "first_name": "KATE",
        "middle_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.