PATRICK ELY (PA) – Medical Physician Assistant, NPI 1093124026

PATRICK ELY (PA) is a healthcare provider. based in Lewiston, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA1474 (ME). The NPI Number for PATRICK ELY (PA) is 1093124026

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK ELY (PA)
NPI
1093124026
Phone
(207) 795-0111
Address
300 MAIN ST
Enumeration Date
4 August 2014
Last Update Date
16 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5053266000
Graduation Year
2014 (12 years ago)
PAC ID
6800016874
Group Practice PAC ID
7810189016
Professional Enrollment ID
I20220719004011
Address ID
NM874027624FA2930XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for PATRICK ELY (PA)

  • 300 MAIN ST

    LEWISTON, ME 042407027

    Phone: (207) 795-0111

    Type: Mailing

  • 2577 MAIN AVE

    DURANGO, CO 813015919

    Phone: (970) 247-8382

    Fax: (970) 259-4403

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220208002076IPhysician AssistantCOTBD
I20220719004011IPhysician AssistantNMTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes230205$0
99203New patient office or other outpatient visit, 30-44 minutes158158$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected7878$0
81003Automated urinalysis test7571$0
99214Established patient office or other outpatient visit, 30-39 minutes7268$0
View full utilization report →

Insurance plans in this area (ZIP 04240)

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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: 7810189016View full group profile
NameSpecialtyState
Physician AssistantNM
Nurse PractitionerAZ
Physician AssistantCO
Nurse PractitionerNM
Nurse PractitionerIL
Physician AssistantAZ
Nurse PractitionerNM

Reviews

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Frequently asked questions

What NPI should I save for PATRICK ELY (PA)?
Save NPI 1093124026 if you need a stable reference for PATRICK ELY (PA).
Is PATRICK ELY (PA)'s NPI currently valid?
The extract we use shows PATRICK ELY (PA) as active.
What field does PATRICK ELY (PA) work in?
You can think of PATRICK ELY (PA) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for PATRICK ELY (PA)?
We surface Lewiston, Maine for PATRICK ELY (PA) based on available NPPES addresses.
Is PATRICK ELY (PA) a real provider?
This page reflects official NPPES data for NPI 1093124026. Always confirm identity and privileges with the practice and licensing boards.

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