MS. KYLE THERESA MCCLINTOCK CRNA
NPI 1053629857
Nurse Anesthetist, Certified Registered in Portland, ME

Q: What is Kyle Mcclintock's NPI number?

The NPI number for Kyle Mcclintock is 1053629857. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Q: What is Kyle Mcclintock's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Mcclintock was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 September 15, 2010Accepts Medicare Assignment

175 FORE RIVER PKWY, PORTLAND, ME 04102(207) 879-3000 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Feb 16, 2023 (2 updates tracked since 2023).

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About Ms. Kyle Theresa Mcclintock Crna NPPES

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

MS. KYLE THERESA MCCLINTOCK CRNA (NPI 1053629857) is an individual nurse anesthetist, certified registered in Portland, Maine, licensed in Connecticut (075000) and active in the NPI registry since September 2010. She is affiliated with Northern Light Health, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1053629857

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMS. KYLE THERESA MCCLINTOCKCredential: CRNA

Location Address175 FORE RIVER PKWYPortland, ME 04102-2779

Mailing Address29 Mary LnCumberland Foreside, ME 04110-1442 · (860) 280-5125

Phone(207) 879-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 15, 2010

Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2023

✔ NPI 1053629857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in CT · 075000✔ Licensed in CT · 004584✔ Licensed in ME · RNA223051

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN83171 (ME), 075000 (CT)

175 FORE RIVER PKWY, Portland, ME 04102

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Secondary Practice Locations 2

Location 122 Bramhall StPortland, ME 04102-3175 · Phone (207) 662-0111

Location 2435 Lewis AveMeriden, CT 06451-2101 · Phone (203) 694-8200

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

Ms. Kyle Theresa Mcclintock Crna 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 ID7214119254

PECOS Enrollment IDI20221107002926

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

66 services61 patients

Hospital Affiliations CMS Care Compare

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

Northern Light Health

Acute Care Hospitals · Portland, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200008

Location144 State StreetPortland, ME 04101 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

FRANCISCO MANUEL CALLES GARCIA M.D.

Family Medicine (Geriatric Medicine)