Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083738736 Individual Practitioner Female Practitioner

Ellen N. Medrano , PA

Physician Assistant • Leeds, ME

Professional Overview & Biography Verified Profile Summary

Ellen Medrano, PA is a registered healthcare professional specializing in Physician Assistant in Leeds, ME. Practice services are available at 180 CHURCH HILL RD STE 1 under active NPI credentials.

Frequently performed procedures and clinical services include hemoglobin a1c level, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

180 Church Hill Rd Ste 1

Leeds, ME 042633418

Telephone 2075243501
Fax 2075242093
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Leeds, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Leeds, ME (992 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
15 14 $79.67 $9.71

Medical Specialties & State Licenses

CMS Verified: 2021-06-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ME PA428

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
1083738736 (ME)

Practice Associates & Co-Workers

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

39 Associated Practitioners
NPI 1013005313

Doctor of Medicine (M.D.)

Miles Brookes , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013161066

Psychiatric-Mental Health Nurse Practitioner

Sharon Hathaway , LD

Dietitian, Registered

NPI 1043289374

Licensed Dietitian

Diane Handler , PA

Physician Assistant

NPI 1053389692

Physician Assistant

Dr. Peggy Wyman , MD

Family Medicine

NPI 1073592283

Doctor of Medicine (M.D.)

Josephine Poulin , FNP

Nurse Practitioner - Family

NPI 1114480860

Family Nurse Practitioner

Career & Practice History Timeline

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

19 Historical Events
👤
Provider Name / Credentials Updated June 25, 2021

Recorded as ELLEN MEDRANO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2021

Physician Assistant (License #PA428 in ME)

📍
Updated Practice Location June 17, 2020

Registered at 180 CHURCH HILL RD STE 1, LEEDS, ME 042633418 (Tel: 2075243501)

📍
Updated Business Mailing Address June 17, 2020

Registered at 180 CHURCH HILL RD STE 1, LEEDS, ME 042633418 (Tel: 2075243501)

📍
Updated Business Mailing Address July 25, 2019

Registered at 74 PLEASANT ST STE 204, NEW LONDON, NH 032575881 (Tel: 6035264635)

👤
Provider Name / Credentials Updated July 25, 2019

Recorded as ELLEN MEDRANO, PA-C

NPI Profile Active February 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2018

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)

📍
Updated Business Mailing Address February 02, 2018

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077950111)

👤
Provider Name / Credentials Updated February 02, 2018

Recorded as ELLEN DAGGETT-MEDRANO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2018

Physician Assistant (License #PA-428 in ME)

📍
Updated Practice Location August 03, 2017

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: 2077957575)

📍
Updated Business Mailing Address August 03, 2017

Registered at 300 MAIN ST, LEWISTON, ME 042407027 (Tel: (207) 795-7575)

NPI Profile Active April 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2011

Registered at 149 MAIN ST, STE 2A, WINTHROP, ME 043641486 (Tel: 2076243800)

📍
Updated Business Mailing Address April 12, 2011

Registered at 149 MAIN ST, STE 2A, WINTHROP, ME 043641486 (Tel: 2076243800)

👤
Provider Name / Credentials Updated April 12, 2011

Recorded as ELLEN DAGGETT-MEDRANO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2011

Physician Assistant (License #PA-428 in ME)

🟢
Initial NPI Registration & Enumeration March 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Ellen Medrano. Be the first to share your experience!

Sign in to leave a review for Ellen Medrano

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1083738736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: June 25, 2021
Sole Proprietor: No

Mailing Address

180 Church Hill Rd Ste 1

Leeds, ME 042633418

Phone: 2075243501

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.