Active NPI
Kyle M St. John, PA-C
- Physician Assistant
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2989
- Practice address
- 33 Sewall St
Portland, ME 04102-2638 - Phone
- (207) 828-2100
- Fax
- (207) 553-7166
- NPI assigned
- May 7, 2007
- Last updated
- Jul 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2989 | ME | Primary |
| Physician Assistant | 363A00000X | PA15865 | CA |
Addresses
Primary practice location
33 Sewall St
Portland, ME 04102-2638
Mailing address
33 Sewall St
Portland, ME 04102-2638
Phone (207) 828-2100
Other practice location 1
14 Thomas Point Rd
Brunswick, ME 04011-3911
Phone (207) 828-2100
Other practice location 2
4 Commons Ave Ste A
Windham, ME 04062-5554
Phone (207) 828-2100
Other practice location 3
22 Station Ave Ste 201
Brunswick, ME 04011-2092
Phone (207) 828-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Stanford University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
33 Sewall St
Portland, ME 04102-2603
Phone (207) 828-2101
730 Ctr St
Auburn, ME 04210-6316
Phone (207) 783-3450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15865 | CA | MD | Clinical Psychologist |
| PA15865 | CA | MD | Physician Assistant |
| PA2989 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates of Maine PA | Current | Accepting new patients | |
| Synergy Orthopedic Specialists, Inc. | Current | Accepting new patients | |
| Synergy Orthopedic Specialists, Inc. | Current | Accepting new patients | |
| American Current Care, P.a. | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| Orthopaedic Associates of Maine PA | Current | Accepting new patients | |
| Orthopaedic Associates of Maine PA | Past | Accepting new patients |
Locations
4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118
4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450
4910 Directors Pl
Ste 350
San Diego, CA 92121
Phone (858) 346-7171
33 Sewall St
Portland, ME 04102
Phone (207) 772-0076
85 Western Ave
Ste 6
South Portland, ME 04106
Phone (207) 774-7751
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Portland, ME
- NPI 1760203467
-
- Specialist
- San Diego, CA
- NPI 1114282779
-
dba Orthopaedic Associates of Maine Physical Therapy
- Physical Therapy Clinic/Center
- Portland, ME
- NPI 1104648690
-
- Durable Medical Equipment & Medical Supplies
- Brunswick, ME
- NPI 1386454494
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1336327600
-
- Specialist
- Temecula, CA
- NPI 1194447888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1942413877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 SEWALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022638",
"telephone_number": "207-828-2100",
"fax_number": "207-553-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 SEWALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022638",
"telephone_number": "207-828-2100",
"fax_number": "207-553-7166"
}
],
"practiceLocations": [
{
"address_1": "14 Thomas Point Rd",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "ME",
"postal_code": "040113911",
"country_code": "US",
"telephone_number": "207-828-2100",
"fax_number": "207-553-7166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4 Commons Ave Ste A",
"address_purpose": "LOCATION",
"city": "Windham",
"state": "ME",
"postal_code": "040625554",
"country_code": "US",
"telephone_number": "207-828-2100",
"fax_number": "207-553-7166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 Station Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "ME",
"postal_code": "040112092",
"country_code": "US",
"telephone_number": "207-828-2100",
"fax_number": "207-553-7166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ST. JOHN",
"first_name": "KYLE",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2989",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA15865",
"primary": false
}
],
"identifiers": [],
"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 Jul 21, 2026; 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.