BEVERLY J WOOD (PA-C) – Physician Assistant, NPI 1922071349

BEVERLY J WOOD (PA-C) is a healthcare provider. based in Portland, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1080 (ME). The NPI Number for BEVERLY J WOOD (PA-C) is 1922071349

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
BEVERLY J WOOD (PA-C)
NPI
1922071349
Phone
(207) 791-3888
Address
PO BOX 9746
Enumeration Date
8 February 2006
Last Update Date
22 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078578174
Graduation Year
1995 (31 years ago)
PAC ID
3173531241
Group Practice PAC ID
6103737812
Professional Enrollment ID
I20070307000176
Address ID
ME040923188WE40XXXRDXX300

Contacts

Secure Messaging
beverly.wood.1@5857.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,167 PHYSICIAN ASSISTANT in ME

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Provider Addresses for BEVERLY J WOOD (PA-C)

  • 9746, Northwest Maring Drive, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States

    PORTLAND, ME 041045040

    Phone: (207) 791-3888

    Fax: (207) 828-7850

    Type: Mailing

  • 61, Barra Road, Biddeford, York County, Maine, 04005, United States

    BIDDEFORD, ME 04005

    Phone: (207) 283-1441

    Fax: (207) 523-1136

    Type: Location

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: 2007-03-07

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
I20070307000176IPhysician 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 minutes9567$0
99213Established patient office or other outpatient visit, 20-29 minutes3632$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
View full utilization report →

Insurance plans in this area (ZIP 04104)

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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: 6103737812View full group profile

Reviews

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Frequently asked questions

What identifier follows BEVERLY J WOOD (PA-C) across health systems?
The NPI 1922071349 uniquely identifies BEVERLY J WOOD (PA-C) in U.S. healthcare data.
Should I treat BEVERLY J WOOD (PA-C) as an active provider?
Patients and plans typically see BEVERLY J WOOD (PA-C) as active in the national extract.
What services align with BEVERLY J WOOD (PA-C)'s listing?
BEVERLY J WOOD (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit BEVERLY J WOOD (PA-C) in Portland, Maine?
For routing, start with Portland, Maine for BEVERLY J WOOD (PA-C), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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