Individual provider Active NPI

John Connor Westfall, PA-C

  • Surgical Physician Assistant
  • Lewiston, ME
National Provider Identifier
1215305222
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2204 Issued in ME
Practice address
60 High St # Y1
Lewiston, ME 04240-7616
Phone
(207) 795-8260
NPI assigned
Sep 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5526 MA
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X PA2204 ME Primary

Addresses

Primary practice location

60 High St # Y1
Lewiston, ME 04240-7616

Mailing address

60 High St # Y1
Lewiston, ME 04240-7616
Phone (207) 795-8260

Other practice location 1

88 East Newton Street
General Surgery
Boston, MA 02118-2309
Phone (617) 638-8000

Other practice location 2

887 Congress St
Portland, ME 04102-3100
Phone (207) 774-6368

Other practice location 3

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CO, ME3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160105000703 MA Practitioner - Physician Assistant 2264734524 Reassigns benefits to 2 organizations
I20200506000317 CO Practitioner - Physician Assistant 2264734524 Reassigns benefits to 1 organization
I20210806002154 ME Practitioner - Physician Assistant 2264734524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

300 Main St
Lewiston, ME 04240-7027
Phone (207) 753-3900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA5526MAMDPhysician Assistant
PA2204MEMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince May 27, 2021 Accepting new patients
Atrius Health, Inc. CurrentSince Feb 15, 2021 Accepting new patients
Mainehealth CurrentSince Aug 1, 2022 Accepting new patients
Maine Medical Partners CurrentSince Aug 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 14, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 14, 2017 Accepting new patients
Central Maine Medical Center CurrentSince May 27, 2021 Accepting new patients
Atrius Health, Inc. Physician Assistant CurrentSince Feb 15, 2021 Accepting new patients
Maine Medical Partners CurrentSince Aug 1, 2022 Accepting new patients
Mainehealth CurrentSince Aug 1, 2022 Accepting new patients
Mainehealth Past Accepting new patients
Steward Medical Group Inc. Past Accepting new patients

Locations

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

60 High St
#Y1
Lewiston, ME 04240
Phone (207) 795-8260

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

22 Bramhall St
#B
Portland, ME 04102

887 Congress St
Portland, ME 04102
Phone (207) 662-5522

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: jwestfall561054@direct.mmc.mainehealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1215305222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HIGH ST # Y1",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407616",
            "telephone_number": "207-795-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HIGH ST # Y1",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407616",
            "telephone_number": "207-795-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 East Newton Street",
            "address_2": "General Surgery",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182309",
            "country_code": "US",
            "telephone_number": "617-638-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "887 Congress St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023100",
            "country_code": "US",
            "telephone_number": "207-774-6368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7000",
            "fax_number": "508-941-0895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTFALL",
        "first_name": "JOHN",
        "middle_name": "CONNOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5526",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA2204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.