John Upegui, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2315 Issued in ME

Practice address

22 Hartford St Ste 1
Houlton, ME 04730-1844

Phone

(207) 532-4068

Fax

(207) 532-9426

NPI assigned

Oct 20, 2011

Last updated

Apr 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houlton Regional HospitalGroup PAC ID 0042127946, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Home Care & Hospice Home health agency, So Portland, ME, CCN 207020
• Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308
• Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1508823741
  Medicare reassignment Care Compare group NPD
• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1386804268
  Medicare reassignment
• Houlton Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houlton, ME
  • NPI 1013355254
  NPD
• Houlton Regional Hospital

  dba Sigrid E Tompkins Health Center

  • Rural Health Clinic/Center
  • Houlton, ME
  • NPI 1639147101
  NPD (past)

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

• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Care Compare affiliation
• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1508823741
  Care Compare affiliation
• The Aroostook Medical Center

  dba Northern Light A.R. Gould Hospital

  • General Acute Care Hospital
  • Presque Isle, ME
  • NPI 1396858999
  Care Compare affiliation
• Vna Home Health & Hospice

  dba Northern Light Home Care & Hospice

  • Home Health Agency
  • South Portland, ME
  • NPI 1245236306
  Care Compare affiliation

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1811272990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HARTFORD ST STE 1",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301844",
            "telephone_number": "207-532-4068",
            "fax_number": "207-532-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HARTFORD ST STE 1",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301844",
            "telephone_number": "207-532-4068",
            "fax_number": "207-532-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPEGUI",
        "first_name": "JOHN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-20",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2315",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9106014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Malcolm Tingley, PTA
• Togus Vamc
• Town of Houlton (Houlton Ambulance Service)
• Seth Trahan
• Peter A Triolo, M.D.
• Vision Care of Maine Aroostook, LLC
• Shari J Wadman, PA
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1974)
• Walgreen Co (Walgreens #19502)
• Desiree M Wallace, CNA

• Physician Assistant in Houlton, ME
• Providers in Houlton, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.