Active NPI
Micaela Blaine Sulloway, PA-C
- Physician Assistant
- Biddeford, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2394
- Practice address
- 1 Medical Center Dr
Biddeford, ME 04005-9422 - Phone
- (207) 283-7000
- NPI assigned
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2394 | ME | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Biddeford, ME 04005-9422
Mailing address
1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 283-7000
Other practice location 1
25A June St Ste 11
Sanford, ME 04073-2642
Phone (207) 490-7900
Other practice location 2
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2381
Other practice location 3
335 Brighton Ave
Portland, ME 04102-2363
Phone (207) 662-0111
Other practice location 4
25 June St
Sanford, ME 04073-2621
Phone (207) 490-7450
Other names 1
- Micaela Blaine Phillips
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
Enrollment records 1
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
Practice addresses (Care Compare)
1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270
155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.67 of 100
- Quality
- 60.7
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 73.8
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2394 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mercy Hospital | Current | Accepting new patients |
Locations
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000
25 June St
Sanford, ME 04073
Phone (207) 324-4310
25A June St
Ste 11
Sanford, ME 04073
Phone (207) 282-3666
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Interoperability endpoints
- mphillips551966@direct.mmc.mainehealth.org
Organizations & group practices 5
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.
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Portland, ME
- NPI 1508897059
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
Hospital & facility affiliations 38
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1992436661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059422",
"telephone_number": "207-283-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059422",
"telephone_number": "207-283-7000"
}
],
"practiceLocations": [
{
"address_1": "25A June St Ste 11",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "ME",
"postal_code": "040732642",
"country_code": "US",
"telephone_number": "207-490-7900",
"fax_number": "207-490-7969",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-662-2381",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335 Brighton Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041022363",
"country_code": "US",
"telephone_number": "207-662-0111",
"fax_number": "207-662-8133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 June St",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "ME",
"postal_code": "040732621",
"country_code": "US",
"telephone_number": "207-490-7450",
"fax_number": "207-490-7452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLOWAY",
"first_name": "MICAELA",
"middle_name": "BLAINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICAELA",
"last_name": "PHILLIPS",
"middle_name": "BLAINE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.