NPIMap

Individual provider Active NPI

Lauren M. Williams, PA

  • Physician Assistant
  • South Portland, ME
National Provider Identifier
1972907442
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2540 Issued in ME
Practice address
41 Donald B Dean Dr Ste a
South Portland, ME 04106-3252
Phone
(207) 661-6064
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018080 NY
Physician Assistant 363A00000X PA6110 MA
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA2540 ME Primary

Addresses

Primary practice location

41 Donald B Dean Dr Ste a
South Portland, ME 04106-3252

Mailing address

41 Donald B Dean Dr Ste a
South Portland, ME 04106-3252
Phone (207) 661-6064

Other practice location 1

55 Fruit St
Boston, MA 02114-2621
Phone (617) 724-0954

Other practice location 2

45 Francis St # Street-2
Boston, MA 02115-6105
Phone (617) 525-6500

Other names 1

  • Lauren M. Rhea Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA, ME3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170203000816 NY Practitioner - Physician Assistant 3870876501 Reassigns benefits to 1 organization
I20170811002882 MA Practitioner - Physician Assistant 3870876501 Reassigns benefits to 3 organizations
I20231115000457 ME Practitioner - Physician Assistant 3870876501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

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

41 Donald B Dean Dr
South Portland, ME 04106-3252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018080NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Mainehealth CurrentSince Oct 16, 2023 Accepting new patients
Massachusetts General Physicians Organization Inc Multi-Specialty CurrentSince Dec 12, 2018 Accepting new patients
Mainehealth CurrentSince Oct 16, 2023 Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

75 Francis St
Boston, MA 02115

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

41 Donald B Dean Dr
#A
South Portland, ME 04106
Phone (207) 661-6064

Interoperability endpoints

  • Direct secure messaging: lwilliams638751@direct.mmc.mainehealth.org
  • Direct secure messaging: williams.lauren.mgh@direct.partners.masshiway.net

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": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1972907442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DONALD B DEAN DR STE A",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-661-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DONALD B DEAN DR STE A",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063252",
            "telephone_number": "207-661-6064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-724-0954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Francis St # Street-2",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156105",
            "country_code": "US",
            "telephone_number": "617-525-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAUREN",
        "middle_name": "M.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018080",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6110",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "RHEA",
            "middle_name": "M.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.