MARY WHITE (PA) – Physician Assistant, NPI 1003290313

MARY WHITE (PA) is a healthcare provider. based in Brewer, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA1553 (ME). The NPI Number for MARY WHITE (PA) is 1003290313

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MARY WHITE (PA)
NPI
1003290313
Phone
(207) 973-8881
Address
43 WHITING HILL RD
Enumeration Date
16 July 2015
Last Update Date
8 April 2024

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
2079737478
Graduation Year
2015 (11 years ago)
PAC ID
0749598522
Group Practice PAC ID
2062315161
Professional Enrollment ID
I20150928001802
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for MARY WHITE (PA)

  • 43 WHITING HILL RD

    SUITE 300

    BREWER, ME 044121005

    Phone: (207) 973-8881

    Fax: (207) 973-8880

    Type: Mailing

  • 234 STATE ST

    BREWER, ME 044121519

    Phone: (207) 989-0550

    Fax: (207) 989-0551

    Type: Location

  • 360 US HIGHWAY 1 BYP UNIT 102

    PORTSMOUTH, NH 038017105

    Phone: (603) 410-6700

    Fax: (603) 319-8308

    Type: Mailing

  • 543 BROADWAY

    BANGOR, ME 044013337

    Phone: (207) 922-1300

    Fax: (207) 217-6742

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($70).

Total Amount

$70

General + Research + Ownership

Payments

1

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150928001802IPhysician AssistantMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes177116$0
99213Established patient office or other outpatient visit, 20-29 minutes10081$0
99495Transitional care management services for problem of at least moderate complexity2220$0
View full utilization report →

Insurance plans in this area (ZIP 04412)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062315161View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)ME
Nurse PractitionerME
Certified Registered Nurse Anesthetist (Crna)ME
Cardiovascular Disease (Cardiology)ME
Endocrinology, Internal MedicineME
-ME
Nurse PractitionerME
Thoracic SurgeryME
H O S P I T A L I S TME
-NJ

Reviews

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Frequently asked questions

What federal number belongs to MARY WHITE (PA)?
The federal identifier for MARY WHITE (PA) is NPI 1003290313.
Is MARY WHITE (PA) active in the national directory?
MARY WHITE (PA)'s public NPI profile is in an active state.
What field does MARY WHITE (PA) work in?
You can think of MARY WHITE (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY WHITE (PA)?
The page summarizes Brewer, Maine for MARY WHITE (PA); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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