Individual provider Active NPI

Justin Edward Cyr, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, ME
National Provider Identifier
1336678101
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
089418-23 Issued in NH
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

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
RNA193044OtherMEMAINE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200218002435 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668809351 Reassigns benefits to 2 organizations
I20221031001903 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668809351 Reassigns benefits to 3 organizations

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
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Kennebec Anesthesia Associates PAGroup PAC ID 8325027428, 36 clinicians

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 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Aug 23, 2022 Accepting new patients
Central Maine Medical Center Multi-Specialty Current Accepting new patients
Mary Hitchcock Memorial Hospital Multi-Specialty CurrentSince Sep 27, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic Multi-Specialty CurrentSince Oct 17, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital Multi-Specialty CurrentSince Sep 27, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital Multi-Specialty Current Accepting new patients
Kennebec Anesthesia Associates, P.a. Multi-Specialty CurrentSince Aug 5, 2025 Accepting new patients
Central Maine Medical Center Multi-Specialty CurrentSince Aug 23, 2022 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP Multi-Specialty CurrentSince Aug 31, 2022 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.