LISA C PRENTISS PA
NPI 1881652642
Physician Assistant in Portland, ME

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
22 BRAMHALL ST, PAVILION 1203, PORTLAND, ME 04102(207) 662-4618(207) 662-6254 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa C Prentiss Pa NPPES

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

LISA C PRENTISS PA (NPI 1881652642) is an individual physician assistant in Portland, Maine, licensed in Maine (PA430) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1994).

NPPES Registry Identity

NPI1881652642
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA C PRENTISSCredential: PA
Location Address22 BRAMHALL ST, PAVILION 1203Portland, ME 04102-7133
Mailing Address301c Us Route OneScarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Fax(207) 662-6254
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1994
Enumeration DateMay 2, 2006
Last NPPES UpdateJune 3, 2011
NPI 1881652642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ME · PA430
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.

22 BRAMHALL ST, Portland, ME 04102

Other Identifiers 2

Medicare PINAP0566ME
Medicare UPINR96329ME

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

Lisa C Prentiss Pa 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 ID7911185129
PECOS Enrollment IDI20110616000595
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
68 services39 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services11 patients

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
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
22 BRAMHALL ST, DEPT OF ANESTHESIOLOGY
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Hospitalist
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Specialist
22 BRAMHALL ST, DEPT OF OB/GYN
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881652642, enumerated as an "individual" on May 02, 2006.

The provider is located at 22 BRAMHALL ST PAVILION 1203 PORTLAND, ME 04102 and the phone number is (207) 662-4618.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.