MRS. MIRA-SU THURSTON PA-C
NPI 1992848352
Physician Assistant - Medical in Rockport, ME

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
7 MADELYN LN, SUITE 200, ROCKPORT, ME 04856(207) 593-5900(207) 593-5358 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mira-su Thurston Pa-c NPPES

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

MRS. MIRA-SU THURSTON PA-C (NPI 1992848352) is an individual medical provider in Rockport, Maine, licensed in Maine (PA637) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Penobscot Bay Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1992848352
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MIRA-SU THURSTONCredential: PA-C
Location Address7 MADELYN LN, SUITE 200Rockport, ME 04856-4460
Mailing Address7 Madelyn Ln, Suite 200Rockport, ME 04856-4460 · (207) 593-5900 · Fax (207) 593-5358
Fax(207) 593-5358
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJune 25, 2013
NPI 1992848352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ME · PA637
7 MADELYN LN, Rockport, ME 04856

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

Mrs. Mira-su Thurston 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 ID648354555
PECOS Enrollment IDI20080229000455
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 4

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 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.
135 services123 patients
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.
113 services92 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.
67 services67 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Medical)
7 MADELYN LN, SUITE 200
ROCKPORT, ME 04856
Family Medicine
7 MADELYN LN, SUITE 200
ROCKPORT, ME 04856
Family Medicine
7 MADELYN LN, SUITE 200
ROCKPORT, ME 04856
Family Medicine
7 MADELYN LN, SUITE 200
ROCKPORT, ME 04856
Family Medicine
7 MADELYN LN, SUITE 200
ROCKPORT, ME 04856

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 Mira-su Thurston's NPI number?

The NPI number for Mira-su Thurston is 1992848352. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Mira-su Thurston located?

Mira-su Thurston practices at 7 Madelyn Ln Suite 200, Rockport, ME 04856. The listed phone number is (207) 593-5900.

What is Mira-su Thurston's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mira-su Thurston enrolled in Medicare?

Yes. Mira-su Thurston 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 Mira-su Thurston affiliated with any hospitals?

According to CMS data, Mira-su Thurston is affiliated with Penobscot Bay Medical Center and Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Mira-su Thurston was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.