MRS. MIRA-SU THURSTON (PA-C) – Medical Physician Assistant, NPI 1992848352

MRS. MIRA-SU THURSTON (PA-C) is a healthcare provider. based in Rockport, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA637 (ME). The NPI Number for MRS. MIRA-SU THURSTON (PA-C) is 1992848352

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MIRA-SU THURSTON (PA-C)
NPI
1992848352
Phone
(207) 593-5900
Address
7 MADELYN LN
Enumeration Date
15 February 2007
Last Update Date
25 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078859905
Graduation Year
1999 (27 years ago)
PAC ID
0648354555
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20080229000455
Address ID
ME041023134PO22XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for MRS. MIRA-SU THURSTON (PA-C)

  • 7 MADELYN LN

    SUITE 200

    ROCKPORT, ME 048564460

    Phone: (207) 593-5900

    Fax: (207) 593-5358

    Mailing address matches the actual address.

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: 2008-02-29

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
I20080229000455IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes172125$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7272$0
99214Established patient office or other outpatient visit, 30-39 minutes4744$0
99441Telephone medical discussion with physician, 5-10 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 04856)

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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

What is MRS. MIRA-SU THURSTON (PA-C)'s NPI number?
MRS. MIRA-SU THURSTON (PA-C)'s NPI is 1992848352 — the number used across U.S. healthcare to identify this provider.
Would MRS. MIRA-SU THURSTON (PA-C) appear as active to a payer?
You can treat MRS. MIRA-SU THURSTON (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. MIRA-SU THURSTON (PA-C)?
MRS. MIRA-SU THURSTON (PA-C)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. MIRA-SU THURSTON (PA-C) associated with Rockport?
Public fields place MRS. MIRA-SU THURSTON (PA-C) around Rockport, Maine. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MRS. MIRA-SU THURSTON (PA-C) is noted as February 15, 2007 where the registry provides it.

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