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Deactivated NPI 1255336384 Deactivated / Inactive NPI Male Practitioner

Neil C Robertson , PA

Physician Assistant • Kingfield, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Neil Robertson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2005
NPI Deactivation Date April 18, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Neil Robertson, PA was a registered Physician Assistant practicing in Kingfield, ME. Throughout an active medical career spanning 12 years, Neil Robertson provided care at the practice location at 25 DEPOT ST until profile deactivation on 2017-04-18.

Practice Location & Contact Primary Location

Practice Address

25 Depot St

Kingfield, ME 04947

Telephone 2072654555
Fax 2072655004
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kingfield, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Kingfield, ME (992 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ME PA-531

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Kim Brooker , LMSW-CC

Social Worker - Clinical

NPI 1194847491

LMSWCC

Catherine Cosgrave , FNP

Nurse Practitioner - Family

NPI 1578102471

Family Nurse Practitioner

Martha Brown , FNP

Nurse Practitioner - Family

NPI 1770827503

Family Nurse Practitioner

Garrett Smith , PA-C

Physician Assistant

NPI 1811208887

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 18, 2017

Record deactivated on April 18, 2017

NPI Profile Active January 11, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 11, 2012

Registered at 25 DEPOT ST, KINGFIELD, ME 04947 (Tel: 2072654555)

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Updated Business Mailing Address January 11, 2012

Registered at 25 DEPOT ST, KINGFIELD, ME 04947 (Tel: 2072654555)

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Provider Name / Credentials Updated January 11, 2012

Recorded as NEIL ROBERTSON, P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2012

Physician Assistant (License #PA-531 in ME)

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Initial NPI Registration & Enumeration June 16, 2005

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: 1255336384
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2005
Last Update: January 11, 2012
Deactivation Date: April 18, 2017

Mailing Address

25 Depot St

Kingfield, ME 04947

Phone: 2072654555

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.