CALLI ANN LYNCH
NPI 1033991591
Physician Assistant - Surgical in Bangor, ME

Q: What is Calli Lynch's NPI number?

The NPI number for Calli Lynch is 1033991591. It was assigned to this individual provider in the NPPES registry on October 19, 2023.

Q: What is Calli Lynch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Calli Lynch was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 19, 2023PECOS EnrolledAccepts Medicare Assignment

417 STATE ST STE 330, BANGOR, ME 04401(207) 973-8881(207) 973-5042 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Mar 25, 2025, Oct 19, 2023 (3 updates tracked since 2023).

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About Calli Ann Lynch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALLI ANN LYNCH (NPI 1033991591) is an individual surgical provider in Bangor, Maine and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1033991591

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameCALLI ANN LYNCH

Location Address417 STATE ST STE 330Bangor, ME 04401-6638

Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5035 · Fax (207) 973-5042

Phone(207) 973-8881

Fax(207) 973-5042

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 19, 2023

Last NPPES UpdateMay 12, 20253 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1033991591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA2815 (ME)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

417 STATE ST STE 330, Bangor, ME 04401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Calli Ann Lynch is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163945551

PECOS Enrollment IDI20250326002071

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200033

Location489 State StreetBangor, ME 04401 · Penobscot County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN D KOZUSKO MD, MED

Surgery (Plastic and Reconstructive Surgery)