NPIMap

Individual provider Active NPI

Sarah Black Wiesendanger Patton, PA-C

  • Physician Assistant
  • Portland, ME
National Provider Identifier
1952391435
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2186 Issued in ME
Practice address
1601 Congress St
Portland, ME 04102-2102
Phone
(207) 661-0100
Fax
(207) 661-0199
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10005002 WA
Physician Assistant 363A00000X PA2186 ME Primary

Addresses

Primary practice location

1601 Congress St
Portland, ME 04102-2102

Mailing address

23 Rosemary LN
Freeport, ME 04032-6034
Phone (206) 450-1361

Other practice location 1

1229 Madison St
Suite 1480
Seattle, WA 98104-3586
Phone (206) 346-6647

Other practice location 2

66 Baribeau Dr Ste 5B
Brunswick, ME 04011-3230
Phone (207) 721-9277

Other identifiers 1

IdentifierTypeStateIssuer
1551PAOtherWABLUE CROSS BLUE SHEILD

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
I20230216000813 ME Practitioner - Physician Assistant 2264478544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1601 Congress St
Suite 1
Portland, ME 04102-2102
Phone (207) 661-0100

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10005002WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Mar 13, 2022 Accepting new patients
Maine Medical Partners CurrentSince Mar 13, 2023 Accepting new patients
Maine Medical Partners CurrentSince Mar 13, 2023 Accepting new patients
Mainehealth CurrentSince Mar 13, 2022 Accepting new patients
Skin Surgery Center PS Past Accepting new patients
Oasis Health Network, Inc. PastSince Mar 1, 2024 Accepting new patients

Locations

66 Baribeau Dr
Ste 5B
Brunswick, ME 04011
Phone (207) 721-9277

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

1601 Congress St
Ste 1
Portland, ME 04102
Phone (207) 661-0100

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13139/brand/1/csg/1/fhir/r4
  • Direct secure messaging: spatton571855@direct.mmc.mainehealth.org

Organizations & group practices 8

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1952391435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ROSEMARY LN",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326034",
            "telephone_number": "206-450-1361",
            "fax_number": "206-346-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022102",
            "telephone_number": "207-661-0100",
            "fax_number": "207-661-0199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Madison St",
            "address_2": "Suite 1480",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043586",
            "country_code": "US",
            "telephone_number": "206-346-6647",
            "fax_number": "206-346-6022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Baribeau Dr Ste 5B",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040113230",
            "country_code": "US",
            "telephone_number": "207-721-9277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTON",
        "first_name": "SARAH",
        "middle_name": "BLACK WIESENDANGER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10005002",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "1551PA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.