Individual provider Active NPI

Alyssa Brooke Constantino, PA

  • Medical Physician Assistant
  • Turner, ME
National Provider Identifier
1629706551
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2908 Issued in ME
Practice address
7 Main St
Turner, ME 04282-4138
Phone
(207) 524-3501
Fax
(207) 225-2692
NPI assigned
Aug 9, 2022
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA8912 MA
Medical Physician Assistant 363AM0700X PA61646555 WA
Medical Physician Assistant 363AM0700X PA2908 ME Primary

Addresses

Primary practice location

7 Main St
Turner, ME 04282-4138

Mailing address

180 Church Hill Rd Ste 1
Leeds, ME 04263-3418
Phone (207) 524-3501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230126001107 NH Practitioner - Physician Assistant 6204207491 Reassigns benefits to 1 organization
I20250819005298 ME Practitioner - Physician Assistant 6204207491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DFD Russell Medical Center IncGroup PAC ID 3274502000, 12 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

180 Church Hill Rd
Leeds, ME 04263-3418
Phone (207) 524-3501

7 Main St
Turner, ME 04282-4138
Phone (207) 225-2676

730 Ctr St
Auburn, ME 04210-6316
Phone (207) 783-3450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1917NHMDClinical Social Worker
PA8912MAMDMedical Physician Assistant
PA2908MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-State Health Center CurrentSince Aug 1, 2023 Accepting new patients
Mid-State Health Center CurrentSince Aug 1, 2023 Accepting new patients
DFD Russell Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

180 Church Hill Rd
#1
Leeds, ME 04263
Phone (207) 524-3501

7 Main St
Turner, ME 04282
Phone (207) 225-2676

101 Boulder Point Dr
Ste 1
Plymouth, NH 03264
Phone (603) 238-3537

Interoperability endpoints

  • Direct secure messaging: alyssa.constantino.1@30169.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1629706551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CHURCH HILL RD STE 1",
            "city": "LEEDS",
            "state": "ME",
            "postal_code": "042633418",
            "telephone_number": "207-524-3501",
            "fax_number": "207-524-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MAIN ST",
            "city": "TURNER",
            "state": "ME",
            "postal_code": "042824138",
            "telephone_number": "207-524-3501",
            "fax_number": "207-225-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINO",
        "first_name": "ALYSSA",
        "middle_name": "BROOKE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA8912",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61646555",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA2908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turner, ME

Sources for this page

Verify at the official NPI Registry.