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Active NPI 1518508001 Individual Practitioner Female Practitioner

Nikki Ploetz , PA-C

Physician Assistant • Biddeford, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nikki Ploetz, PA-C is a certified Physician Assistant practicing in Biddeford, ME. With approximately 7 years of clinical experience since completing medical education in 2019, Nikki Ploetz delivers high-quality medical care to the local community at 1 MEDICAL CENTER DR.

Nikki Ploetz is affiliated with Mainehealth and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, partial removal of breast, total removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Center Dr

Biddeford, ME 040059422

Telephone 2072837000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Biddeford, ME

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs +0.4 yrs vs City Avg
City Avg: 6.6 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
41 Specialists

Practicing in Biddeford, ME (992 Statewide)

Telehealth Adoption Rate
9.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ploetz (7 Years) 7 Yrs
Biddeford Specialty Average (6.6 Years) 6.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
35 19 $246.83 $97.23

Medical Specialties & State Licenses

CMS Verified: 2024-06-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ME PA2609

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
104738100 (FL)
Commercial Insurance / Payer ID Medicare
LY592 (FL)

Hospital & Practice Group Affiliations

Mainehealth

1 Medical Ctr Dr, Biddeford, ME 040059422

Phone: 2072824270

Mainehealth

22 Bramhall St, Portland, ME 041023134

Phone: 2078859905

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nancy Berube , OTR, L, CBIS

Occupational Therapist

NPI 1063071108

Occupational Therapist Registered, L, CBIS

Jaclyn Martin , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073137659

Certified Registered Nurse Anesthetist

NPI 1104205293

Doctor of Medicine (M.D.)

NPI 1114096997

Doctor of Medicine (M.D.)

Allison Palmer

Student in an Organized Health Care Education/Training Program

NPI 1134515836
Dr. Dana Tripp , MD

Anesthesiology

NPI 1144979535

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 21, 2024

Registered at 1 MEDICAL CENTER DR, BIDDEFORD, ME 040059422 (Tel: 2072837000)

📍
Updated Business Mailing Address June 21, 2024

Registered at 1 MEDICAL CENTER DR, BIDDEFORD, ME 040059422

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2024

Physician Assistant (License #PA2609 in ME)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2021

Physician Assistant (License #PA9112119 in FL)

📍
Updated Practice Location October 14, 2020

Registered at 205 E NASA BLVD, MELBOURNE, FL 329011950 (Tel: 3213615626)

📍
Updated Practice Location March 11, 2020

Registered at 1130 HICKORY ST STE B, MELBOURNE, FL 329011973 (Tel: 3217250944)

📍
Updated Business Mailing Address November 07, 2019

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 3217520944)

NPI Profile Active October 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2019

Registered at 1130 HICKORY ST, MELBOURNE, FL 329011973 (Tel: 3217250944)

📍
Updated Business Mailing Address October 05, 2019

Registered at 205 HIGHWAY A1A APT 602, SATELLITE BEACH, FL 329372038 (Tel: 9544619304)

👤
Provider Name / Credentials Updated October 05, 2019

Recorded as NIKKI PLOETZ, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2019

Physician Assistant (License #9112119 in FL)

🟢
Initial NPI Registration & Enumeration October 05, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518508001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2019
Last Update: June 21, 2024
Sole Proprietor: No

Mailing Address

1 Medical Center Dr

Biddeford, ME 040059422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.