Active NPI
Michele Marchildon, PA
- Physician Assistant
- Falmouth, ME
National Provider Identifier
1912917774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA680
- Practice address
- 5 Bucknam Rd Ste 2
Falmouth, ME 04105-1392 - Phone
- (207) 781-1500
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA680 | ME | Primary |
Addresses
Primary practice location
5 Bucknam Rd Ste 2
Falmouth, ME 04105-1392
Mailing address
5 Bucknam Rd Ste 2C
Falmouth, ME 04105-1209
Phone (207) 781-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276830099 | Medicaid | ME |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michele.marchildon.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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
5 Bucknam Rd
Falmouth, ME 04105-1209
Hospital & facility affiliations
- Mainehealth Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139 | ME | MD | Primary Podiatric Medicine Podiatrist |
| PA680 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Martin'S Point Health Care, Inc. | Physician Assistant | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Eastern Maine Healthcare Systems Inland Hospital | Past | Accepting new patients | |
| Family Medicine Associates of Waterville PA | Past | Accepting new patients |
Locations
68 Graham St
Biddeford, ME 04005
Phone (207) 283-1441
74 Baribeau Dr
Brunswick, ME 04011
Phone (207) 798-4050
174 S Freeport Rd
Freeport, ME 04032
Phone (207) 865-1819
510 Main St
Gorham, ME 04038
Phone (207) 216-2118
6 Farley Rd
Mere Point, ME 04011
Phone (207) 725-8079
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
331 Veranda St
Portland, ME 04103
Phone (207) 774-5801
5 Bucknam Rd
Ste 2C
Portland, ME 04105
Phone (207) 781-1500
Interoperability endpoints
- mmarchildon881812@direct.mmc.mainehealth.org
- michele.marchildon.1@5857.direct.athenahealth.com
- https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Family Medicine Physician
- Portland, ME
- NPI 1366474611
Physician Assistant
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- Family Medicine Physician
- North Anson, ME
- NPI 1366575326
-
- Family Medicine Physician
- Waterville, ME
- NPI 1508841941
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1912917774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BUCKNAM RD STE 2C",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051209",
"telephone_number": "207-781-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BUCKNAM RD STE 2",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051392",
"telephone_number": "207-781-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHILDON",
"first_name": "MICHELE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276830099",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michele.marchildon.1@5857.direct.athenahealth.com",
"affiliation": "N",
"address_1": "6 Farley Rd",
"city": "Brunswick",
"state": "ME",
"country_code": "US",
"postal_code": "040112642",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.