MR. SEAN MINER (PA) – Medical Physician Assistant, NPI 1144209438

MR. SEAN MINER (PA) is a healthcare provider. based in Worcester, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0122851 (NY). The NPI Number for MR. SEAN MINER (PA) is 1144209438

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. SEAN MINER (PA)
NPI
1144209438
Phone
(774) 443-0344
Address
55 Lake Ave N
Enumeration Date
13 January 2006
Last Update Date
6 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
8123096120
Group Practice PAC ID
0941113567
Professional Enrollment ID
I20040917000753
Address ID
CT061051208HA114XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for MR. SEAN MINER (PA)

  • 55 Lake Ave N

    Department of Critical Care

    Worcester, MA 016550002

    Phone: (774) 443-0344

    Type: Location

  • Saint Francis Hospital and Medical Center, 114, Woodland Street, Upper Albany Historic District, Hartford, Hartford County, Connecticut, 06105, United States

    HARTFORD, CT 061051208

    Phone: (413) 237-9440

    Type: Mailing

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 $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-03-03 • Largest payer in this snapshot: Alcresta Therapeutics, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-03

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: 2004-09-17

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
I20040917000753IPhysician AssistantCTTBD

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 01655)

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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: 0941113567View full group profile
NameSpecialtyState
-GA
Cardiovascular Disease (Cardiology)CT
-CT
Emergency MedicineRI
-GA
Physician AssistantCT
G A S T R O E N T E R O L O G YCT
Cardiovascular Disease (Cardiology)CT
Physician AssistantCT
General Surgery, Surgical OncologyCT

Reviews

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Frequently asked questions

What is the standard ID for MR. SEAN MINER (PA) in the U.S.?
In the U.S., MR. SEAN MINER (PA) is identified by NPI 1144209438.
Quick check: is MR. SEAN MINER (PA) active?
Public NPPES data shows MR. SEAN MINER (PA) with an active NPI status right now.
How should patients interpret MR. SEAN MINER (PA)'s specialty?
The extract shows Medical Physician Assistant for MR. SEAN MINER (PA). Clinical services aligned with this taxonomy classification.
Can patients visit MR. SEAN MINER (PA) in Worcester, Massachusetts?
For routing, start with Worcester, Massachusetts for MR. SEAN MINER (PA), then verify phone and hours locally.
Why is information missing for MR. SEAN MINER (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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