Individual provider Active NPI

Susan O'Neil Coyne, PA-C

  • Surgical Physician Assistant
  • Falmouth, ME
National Provider Identifier
1932628450
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2311 Issued in ME
Practice address
5 Bucknam Rd Ste 1D
Falmouth, ME 04105-1208
Phone
(207) 781-1551
Fax
(207) 781-1552
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2311 ME
Surgical Physician Assistant 363AS0400X MA059270 PA
Surgical Physician Assistant 363AS0400X PA2311 ME Primary

Addresses

Primary practice location

5 Bucknam Rd Ste 1D
Falmouth, ME 04105-1208

Mailing address

5 Bucknam Rd Ste 1D
Falmouth, ME 04105-1208
Phone (207) 781-1551

Other practice location 1

335 Brighton Ave Ste 200
Portland, ME 04102-2362
Phone (207) 662-8600

Other practice location 2

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-7355

Other practice location 3

92 Campus Dr Fl 3
Scarborough, ME 04074-7133
Phone (207) 797-5753

Other identifiers 1

IdentifierTypeStateIssuer
PA2311OtherMEMAINE STATE CERTIFICATION

Other names 1

  • Susan Coyne Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220601002418 ME Practitioner - Physician Assistant 2567728702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

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

5 Bucknam Rd
Suite 1D
Falmouth, ME 04105-1208
Phone (207) 781-1551

92 Campus Dr
Scarborough, ME 04074-7229

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059270PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jun 6, 2022 Accepting new patients
Maine Medical Partners CurrentSince Jun 6, 2022 Accepting new patients
Maine Medical Partners CurrentSince Jun 6, 2022 Accepting new patients
Mainehealth CurrentSince Jun 6, 2022 Accepting new patients
Mainehealth Past Accepting new patients

Locations

5 Bucknam Rd
Ste 1D
Falmouth, ME 04105
Phone (207) 781-1551

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

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

335 Brighton Ave
Ste 200
Portland, ME 04102
Phone (207) 662-8600

92 Campus Dr
Ste C
Scarborough, ME 04074
Phone (207) 797-5753

92 Campus Dr
Fl 3
Scarborough, ME 04074
Phone (207) 797-5753

175 US Route 1
Scarborough, ME 04074
Phone (207) 396-7700

Interoperability endpoints

  • Direct secure messaging: scoyne548920@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 and National Provider Directory roles.

Hospital & facility affiliations 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1932628450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BUCKNAM RD STE 1D",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051208",
            "telephone_number": "207-781-1551",
            "fax_number": "207-781-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BUCKNAM RD STE 1D",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051208",
            "telephone_number": "207-781-1551",
            "fax_number": "207-781-1552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Brighton Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022362",
            "country_code": "US",
            "telephone_number": "207-662-8600",
            "fax_number": "207-662-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044238",
            "country_code": "US",
            "telephone_number": "215-662-7355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "92 Campus Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747133",
            "country_code": "US",
            "telephone_number": "207-797-5753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYNE",
        "first_name": "SUSAN",
        "middle_name": "O'NEIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2311",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA059270",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA2311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE STATE CERTIFICATION",
            "identifier": "PA2311",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "COYNE",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.