Active NPI
Kyle Theresa McClintock, CRNA
- Certified Registered Nurse Anesthetist
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 075000
- Practice address
- 175 Fore River Pkwy
Portland, ME 04102-2779 - Phone
- (207) 879-3000
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN83171 | ME | |
| Registered Nurse | 163W00000X | 075000 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 004584 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA223051 | ME | |
| Certified Registered Nurse Anesthetist | 367500000X | 075000 | CT | Primary |
Addresses
Primary practice location
175 Fore River Pkwy
Portland, ME 04102-2779
Mailing address
29 Mary LN
Cumberland Foreside, ME 04110-1442
Phone (860) 280-5125
Other practice location 1
22 Bramhall St
Portland, ME 04102-3175
Phone (207) 662-0111
Other practice location 2
435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, ME
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.67 of 100
- Quality
- 60.7
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 73.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN83171 | ME | MD | Registered Nurse |
| 004584 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients | |
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wilton Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Hospital | Current | Accepting new patients | |
| Maine Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Hospital | Current | Accepting new patients |
Locations
4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
280 State St
North Haven, CT 06473
Phone (203) 288-2886
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105
53 Sewall St
Portland, ME 04102
Phone (207) 350-5019
405 Western Ave
South Portland, ME 04106
Phone (207) 272-0707
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
400 10th St E
Waconia, MN 55387
Interoperability endpoints
- kyle.mcclintock@xdr.hhchealthdirect.org
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- Certified Registered Nurse Anesthetist
- Portland, ME
- NPI 1265296651
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bloomfield, CT
- NPI 1588696173
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
-
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1053629857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MARY LN",
"city": "CUMBERLAND FORESIDE",
"state": "ME",
"postal_code": "041101442",
"telephone_number": "860-280-5125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 FORE RIVER PKWY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022779",
"telephone_number": "207-879-3000"
}
],
"practiceLocations": [
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023175",
"country_code": "US",
"telephone_number": "207-662-0111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "435 Lewis Ave",
"address_purpose": "LOCATION",
"city": "Meriden",
"state": "CT",
"postal_code": "064512101",
"country_code": "US",
"telephone_number": "203-694-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLINTOCK",
"first_name": "KYLE",
"middle_name": "THERESA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ME",
"license": "RN83171",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "075000",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "004584",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA223051",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "075000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.