ELIZABETH ANN PAVAO (FNP, RNFA) – Family Nurse Practitioner, NPI 1932202082

ELIZABETH ANN PAVAO (FNP, RNFA) is a healthcare provider. based in Portland, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, RNFA. They hold a License No. RN45048 (ME). The NPI Number for ELIZABETH ANN PAVAO (FNP, RNFA) is 1932202082

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH ANN PAVAO (FNP, RNFA)
NPI
1932202082
Phone
(207) 662-2934
Address
22 BRAMHALL ST
Enumeration Date
6 September 2006
Last Update Date
24 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078859905
Graduation Year
2016 (10 years ago)
PAC ID
3678566684
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20040406000621
Address ID
ME041023134PO22XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

Provider Addresses for ELIZABETH ANN PAVAO (FNP, RNFA)

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 662-2934

    Fax: (207) 662-6389

    Type: Location

  • 365 Montauk Ave

    New London, CT 063204769

    Phone: (860) 442-0711

    Fax: (860) 865-2395

    Type: Location

  • 301, Route 1, Cumberland County, Maine, 04074, United States

    SCARBOROUGH, ME 040747609

    Phone: (207) 396-8600

    Fax: (207) 396-8632

    Type: Mailing

  • Congress Street Medical Building, 887, Congress Street, West End, Portland, Cumberland County, Maine, 04102, United States

    SUITE 210

    PORTLAND, ME 04102

    Phone: (207) 774-2544

    Fax: (207) 774-0459

    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 $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($111).

Total Amount

$111

General + Research + Ownership

Payments

1

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

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: 2023-07-21

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
I20040406000621INurse PractitionerMETBD
I20230721000852INurse PractitionerCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04102)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

How do I look up ELIZABETH ANN PAVAO (FNP, RNFA) by NPI?
Use NPI 1932202082 when you need to reference ELIZABETH ANN PAVAO (FNP, RNFA) in forms, claims, or directories.
Is ELIZABETH ANN PAVAO (FNP, RNFA)'s NPI currently valid?
The extract we use shows ELIZABETH ANN PAVAO (FNP, RNFA) as active.
Does ELIZABETH ANN PAVAO (FNP, RNFA) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for ELIZABETH ANN PAVAO (FNP, RNFA). Clinical services aligned with this taxonomy classification.
Where is ELIZABETH ANN PAVAO (FNP, RNFA)'s primary listing?
We display Portland, Maine because that is what the record indicates for ELIZABETH ANN PAVAO (FNP, RNFA).
What if Portland, Maine seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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