MS. KYLE THERESA MCCLINTOCK CRNA
NPI 1053629857
Nurse Anesthetist, Certified Registered in Portland, ME
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 enrolled in Medicare PECOS, is affiliated with Northern Light Health, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
6Medicare enrollment records show Kyle Mcclintock reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 322 clinicians in this Medicare group
Portland, ME 04102
- Reassigned Medicare billing, Maine enrollment
- 22 clinicians in this Medicare group
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: St Marys Regional Medical Center
- 381 clinicians in this Medicare group
Bloomfield, CT 06002
- Reassigned Medicare billing, Connecticut enrollment
- 29 clinicians in this Medicare group
Hamden, CT 06514
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 clinicians in this Medicare group
Shelton, CT 06484
- Reassigned Medicare billing, Connecticut enrollment
- 727 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MEPhysician 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.
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.
PORTLAND, ME 04102
PORTLAND, ME 04102
PORTLAND, ME 04102
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Kyle Mcclintock located?
Kyle Mcclintock practices at 175 Fore River Pkwy, Portland, ME 04102. The listed phone number is (207) 879-3000.
What is Kyle Mcclintock's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kyle Mcclintock enrolled in Medicare?
Yes. Kyle Mcclintock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kyle Mcclintock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Mcclintock reassigns Medicare benefits to 6 organizations: Mercy Hospital (Portland, ME), Maine Anesthesia Partners LLC (Portland, ME), St. Mary's Regional Medical Center (Lewiston, ME), Wilton Anesthesia Associates, LLC (Bloomfield, CT), Yale University (Hamden, CT) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Mcclintock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kyle Mcclintock affiliated with any hospitals?
According to CMS data, Kyle Mcclintock is affiliated with Northern Light Health.
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.
# Ms. Kyle Theresa Mcclintock, CRNA · NPI 1053629857
Nurse Anesthetist, Certified Registered physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since September 15, 2010.
## Identity
- **NPI:** 1053629857 (Entity type: Individual)
- **Enumerated:** September 15, 2010
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 075000 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 175 FORE RIVER PKWY, Portland, ME 04102-2779
- **Phone:** (207) 879-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Mercy Hospital (NPI 1629078712, Portland, ME); Maine Anesthesia Partners LLC (NPI 1265296651, Portland, ME); St. Mary's Regional Medical Center (NPI 1447226584, Lewiston, ME); Wilton Anesthesia Associates, LLC (NPI 1588696173, Bloomfield, CT); Yale University (NPI 1134391824, Hamden, CT); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** February 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053629857) · Data from the CMS NPPES public registry.