NPIMap

Individual provider Active NPI

John Wironen, PA-C

  • Physician Assistant
  • Leeds, ME
National Provider Identifier
1770158149
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2225 Issued in ME
Practice address
180 Church Hill Rd Ste 1
Leeds, ME 04263-3418
Phone
(207) 524-3501
Fax
(207) 524-2093
NPI assigned
May 26, 2021
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2225 ME Primary

Addresses

Primary practice location

180 Church Hill Rd Ste 1
Leeds, ME 04263-3418

Mailing address

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

Other practice location 1

22 Station Ave Ste 102
Brunswick, ME 04011-2092
Phone (207) 406-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002219 ME Practitioner - Physician Assistant 4284038126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

22 Station Ave
Brunswick, ME 04011-2092

730 Ctr St
Suite 9
Auburn, ME 04210-6316
Phone (207) 783-3450

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 20, 2025 Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC CurrentSince Oct 9, 2025 Accepting new patients
Mainehealth CurrentSince Jul 20, 2025 Accepting new patients
DFD Russell Medical Center Inc CurrentSince May 1, 2023 Accepting new patients
Sebasticook Valley Health PastSince Jun 1, 2021 Accepting new patients

Locations

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

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

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

Interoperability endpoints

  • Direct secure messaging: john.wironen.1@30169.direct.athenahealth.com
  • Direct secure messaging: jwironen903131@direct.mmc.mainehealth.org

Organizations & group practices 6

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 5

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1770158149",
    "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": "180 CHURCH HILL RD STE 1",
            "city": "LEEDS",
            "state": "ME",
            "postal_code": "042633418",
            "telephone_number": "207-524-3501",
            "fax_number": "207-524-2093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Station Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112092",
            "country_code": "US",
            "telephone_number": "207-406-7500",
            "fax_number": "207-618-5674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRONEN",
        "first_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, ME

Sources for this page

Verify at the official NPI Registry.