Active NPI
Justin Edward Cyr, CRNA
- Certified Registered Nurse Anesthetist
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 089418-23
- Practice address
- 22 Bramhall St
Portland, ME 04102-3175 - Phone
- (207) 662-2526
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA193044 | ME | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 089418-23 | NH | Primary |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3175
Mailing address
155 Line Rd
Gorham, ME 04038-2144
Phone (207) 318-7135
Other practice location 1
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RNA193044 | Other | ME | MAINE BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
35 Medical Ctr Pkwy
Suite 201
Augusta, ME 04330-8160
Phone (207) 620-1136
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Multi-Specialty | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Multi-Specialty | Current | Accepting new patients |
| Dartmouth-Hitchcock Clinic | Multi-Specialty | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Multi-Specialty | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Multi-Specialty | Current | Accepting new patients |
| Kennebec Anesthesia Associates, P.a. | Multi-Specialty | Current | Accepting new patients |
| Central Maine Medical Center | Multi-Specialty | Current | Accepting new patients |
| North American Partners in Anesthesia New Hampshire LLP | Multi-Specialty | Current | Accepting new patients |
Locations
35 Medical Center Pkwy
#201
Augusta, ME 04330
Phone (207) 622-1959
35 Medical Center Pkwy
Ste 201
Augusta, ME 04330
Phone (207) 620-1136
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
149 North St
Waterville, ME 04901
Phone (207) 622-1959
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
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.
-
- Anesthesiology Physician
- Augusta, ME
- NPI 1992789184
Multi-Specialty
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
Multi-Specialty
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
Multi-Specialty
-
- Anesthesiology Physician
- Nashua, NH
- NPI 1306838701
Multi-Specialty
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Multi-Specialty Clinic/Center
- Manchester, ME
- NPI 1598411175
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1336678101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 LINE RD",
"city": "GORHAM",
"state": "ME",
"postal_code": "040382144",
"telephone_number": "207-318-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023175",
"telephone_number": "207-662-2526"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037560001",
"country_code": "US",
"telephone_number": "603-650-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CYR",
"first_name": "JUSTIN",
"middle_name": "EDWARD",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-06",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA193044",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "089418-23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE BOARD OF NURSING",
"identifier": "RNA193044",
"state": "ME"
}
],
"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 Oct 2, 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.