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ANTONINA PLANSON
NPI 1043922610
Nurse Practitioner - Family in Winthrop, ME

Active since December 15, 2022PECOS Enrolled
16 COMMERCE PLZ, WINTHROP, ME 04364(207) 624-3800(207) 624-3845 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Antonina Planson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONINA PLANSON (NPI 1043922610) is an individual family provider in Winthrop, Maine, licensed in Maine (CNP221567) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043922610
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANTONINA PLANSON
Location Address16 COMMERCE PLZWinthrop, ME 04364-1498
Mailing Address16 Commerce PlzWinthrop, ME 04364-1498 · (207) 624-3800 · Fax (207) 624-3845
Phone(207) 624-3800
Fax(207) 624-3845
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 15, 2022
NPPES CertifiedDecember 15, 2022
✔ NPI 1043922610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP221567
16 COMMERCE PLZ, Winthrop, ME 04364
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonina Planson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840660916
PECOS Enrollment IDI20230105002587
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Antonina Planson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainegeneral Medical Center
10 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454
Gray Urgent Care LLC
35 mi
Urgent Care
6 TURNPIKE ACRES RD UNIT 2
Gray, ME 04039
  • Reassigned Medicare billing, Maine enrollment
  • 7 clinicians in this Medicare group
NPI 1104573609 (207) 251-1177

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04364 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RICHARD J. LARRABEE
Counselor (Mental Health)
16 COMMERCE PLZ
WINTHROP, ME 04364
Kennebec County (207) 377-2111
WILLIAM C STINSON PT, DPT
Physical Therapist
16 COMMERCE PLZ
WINTHROP, ME 04364
Kennebec County (207) 377-1580
LARA SHAHAR ILYAS M.D.
Family Medicine
16 COMMERCE PLZ
WINTHROP, ME 04364
Kennebec County (207) 624-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonina Planson's NPI number?

The NPI number for Antonina Planson is 1043922610. It was assigned to this individual provider in the NPPES registry on December 15, 2022.

Where is Antonina Planson located?

Antonina Planson practices at 16 Commerce Plz, Winthrop, ME 04364. The listed phone number is (207) 624-3800.

What is Antonina Planson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Antonina Planson enrolled in Medicare?

Yes. Antonina Planson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Antonina Planson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonina Planson reassigns Medicare benefits to 2 organizations: Mainegeneral Medical Center (Augusta, ME) and Gray Urgent Care LLC (Gray, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonina Planson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Antonina Planson affiliated with any hospitals?

According to CMS data, Antonina Planson is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Antonina Planson was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.