LOLA LOUISE AMDAHL PA-C
NPI 1487291050
Physician Assistant in Portland, ME

Active since December 03, 2019PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1600 CONGRESS ST STE B, PORTLAND, ME 04102(207) 774-5222 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2022, Sep 8, 2022, Feb 11, 2021 and 1 more (4 updates tracked since 2019).

About Lola Louise Amdahl Pa-c NPPES

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

LOLA LOUISE AMDAHL PA-C (NPI 1487291050) is an individual physician assistant in Portland, Maine, licensed in Maine (PA2334) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487291050
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLOLA LOUISE AMDAHLCredential: PA-C
Location Address1600 CONGRESS ST STE BPortland, ME 04102-2148
Mailing Address557 Ocean StSouth Portland, ME 04106-6625 · (603) 252-0556
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 3, 2019
Last NPPES UpdateSeptember 12, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
NPI 1487291050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ME · PA2334 Licensed in VT · 055-0031471
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1600 CONGRESS ST STE B, Portland, ME 04102

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lola Louise Amdahl Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911318480
PECOS Enrollment IDI20220921000769
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.

Areas of Expertise CMS Part B claims 2

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.
135 services93 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
63 services30 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Nephrology)
1600 CONGRESS ST STE B
PORTLAND, ME 04102
Dietitian, Registered
1600 CONGRESS ST STE B
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600 CONGRESS ST STE B
PORTLAND, ME 04102
Physician Assistant
1600 CONGRESS ST STE B
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600 CONGRESS ST STE B
PORTLAND, ME 04102
Internal Medicine (Nephrology)
1600 CONGRESS ST STE B
PORTLAND, ME 04102
Nurse Practitioner (Acute Care)
1600 CONGRESS ST STE B
PORTLAND, ME 04102
Nurse Practitioner (Acute Care)
1600 CONGRESS ST STE B
PORTLAND, ME 04102

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 Lola Amdahl's NPI number?

The NPI number for Lola Amdahl is 1487291050. It was assigned to this individual provider in the NPPES registry on December 3, 2019.

Where is Lola Amdahl located?

Lola Amdahl practices at 1600 Congress St Ste B, Portland, ME 04102. The listed phone number is (207) 774-5222.

What is Lola Amdahl's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lola Amdahl enrolled in Medicare?

Yes. Lola Amdahl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lola Amdahl affiliated with any hospitals?

According to CMS data, Lola Amdahl is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Lola Amdahl was last updated on September 12, 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.