- Practice location
- 22 Bramhall St, Portland, ME 04102-3134
- Phone
- 207-662-5610
- Fax
- —
- Last updated
- July 24, 2023
Shannon Mccrillis is a Physician Assistant, Medical based in Portland, ME. Shannon Mccrillis practices in Portland, ME and has the professional credentials of PA. The NPI Number for Shannon Mccrillis is 1245914027. The current practice location address for Shannon Mccrillis is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-662-5610.
Provider Profile Details
- NPI Number
- 1245914027
- Provider Name
- Shannon Mccrillis
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 Bramhall St, Portland, ME 04102-3134
- Phone Number
- 207-662-5610
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 13, 2023
- Last Update Date
- July 24, 2023
- Certification Date
- July 24, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Bramhall St
Portland, ME 04102-3134 - City
- Portland
- State
- Maine
- Zip
- 04102-3134
- Phone Number
- 207-662-5610
Provider Business Mailing Address Details
- Address
- 3 Rogers Ln
Kittery, ME 03904-1115 - City
- Kittery
- State
- ME
- Zip
- 03904-1115
- Phone Number
- 207-752-6177
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Portland, ME
View all Physician Assistant, Medical providers in Portland →- Elizabeth P Bailey, PAPhysician Assistant, Medical · NPI 1215004809
- Emily M Akley, PA-CPhysician Assistant, Medical · NPI 1629629043
- Lauren J Barton, MHS, PA-CPhysician Assistant, Medical · NPI 1912409533
- Andrew M Oliver, APRN-CRNANurse Anesthetist, Certified Registered · NPI 1942962477
- Dirk Buban, PAPhysician Assistant · NPI 1982344313
- William J Laffan, LCPCCounselor, Professional · NPI 1790551414
Frequently Asked Questions
What is the NPI number of Shannon Mccrillis, PA?
The NPI number of Shannon Mccrillis, PA is 1245914027. It was assigned on June 13, 2023 and is currently active in the NPPES registry.
What is the specialty of Shannon Mccrillis, PA?
Shannon Mccrillis, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X).
Where does Shannon Mccrillis, PA practice?
The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-662-5610 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245914027 directly on the NPPES registry website.