Kirsten Ueland Gallery, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA1985 Issued in ME

Practice address

119 Gannett Dr
South Portland, ME 04106-6942

Phone

(207) 773-0040

Fax

(207) 661-4630

NPI assigned

Jun 29, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirsten.gallery.1@26052.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EAFDBD
• Direct secure messaging: halsey.kirsten.mvh@direct.partners.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Martha's Vineyard Hospital, Inc.

  • Critical Access Hospital
  • Oak Bluffs, MA
  • NPI 1134206386
  Medicare reassignment NPD
• Vineyard Medical Care LLC

  • Internal Medicine Physician
  • Vineyard Haven, MA
  • NPI 1346649886
  Medicare reassignment NPD
• Martha's Vineyard Hospital, Inc.

  • Internal Medicine Physician
  • Oak Bluffs, MA
  • NPI 1194866210
  Medicare reassignment
• Martha's Vineyard Hospital

  dba Martha's Vineyard Hospital Physician Group

  • Obstetrics & Gynecology Physician
  • Oak Bluffs, MA
  • NPI 1962465500
  NPD
• Martha's Vineyard Hospital, Inc.

  dba Martha's Vineyard Hospital

  • Rural Health Clinic/Center
  • Oak Bluffs, MA
  • NPI 1508413725
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1033630926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 GANNETT DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066942",
            "telephone_number": "207-773-0040",
            "fax_number": "207-661-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GANNETT DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066942",
            "telephone_number": "207-773-0040",
            "fax_number": "207-661-4630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Wareham St Unit 306",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182748",
            "country_code": "US",
            "telephone_number": "802-356-2251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLERY",
        "first_name": "KIRSTEN",
        "middle_name": "UELAND",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA1985",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger R Gagnon, O.D.
• Samuel Gagnon, PA-C
• Gaia Enterprises Inc
• Kenneth Galeckas, M.D.
• Erin Sandy Gallagher, FNP
• Sheldon R Ganberg, PH.D., L.AC.
• Gannett Drive Dental PLLC
• Tyler Gardiner, ATC
• Erin Garthwaite, RN
• Gary a Kokx DMD Todd D Ray DMD PLLC

• Surgical Physician Assistant in South Portland, ME
• Providers in South Portland, ME by specialty
• Surgical Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.