DAVID WALLSTROM PA-C
NPI 1427589670
Physician Assistant - Medical in Brunswick, ME

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
22 STATION AVE, BRUNSWICK, ME 04011(207) 406-7500 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2023, Apr 4, 2023, Mar 21, 2017 (3 updates tracked since 2017).

About David Wallstrom Pa-c NPPES

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

DAVID WALLSTROM PA-C (NPI 1427589670) is an individual medical provider in Brunswick, Maine, licensed in Maine (PA2300) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Mid Coast Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1427589670
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDAVID WALLSTROMCredential: PA-C
Location Address22 STATION AVEBrunswick, ME 04011-2092
Mailing Address160 Allen Street, Medical Staff ServicesRutland, VT 05701 · (802) 747-3639 · Fax (802) 747-6207
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateMay 19, 20233 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1427589670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ME · PA2300
22 STATION AVE, Brunswick, ME 04011

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

David Wallstrom Pa-c 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 ID749555811
PECOS Enrollment IDI20220119001125
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
147 services143 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services39 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
39 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
22 STATION AVE
BRUNSWICK, ME 04011
Nurse Practitioner
22 STATION AVE
BRUNSWICK, ME 04011
Physician Assistant (Medical)
22 STATION AVE
BRUNSWICK, ME 04011
Family Medicine
22 STATION AVE, SUITE 101
BRUNSWICK, ME 04011
Nurse Practitioner (Family)
22 STATION AVE, SUITE 101
BRUNSWICK, ME 04011
Family Medicine
22 STATION AVE, SUITE 101
BRUNSWICK, ME 04011
Nurse Practitioner (Family)
22 STATION AVE
BRUNSWICK, ME 04011
Emergency Medicine
22 STATION AVE
BRUNSWICK, ME 04011

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 David Wallstrom's NPI number?

The NPI number for David Wallstrom is 1427589670. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is David Wallstrom located?

David Wallstrom practices at 22 Station Ave, Brunswick, ME 04011. The listed phone number is (207) 406-7500.

What is David Wallstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is David Wallstrom enrolled in Medicare?

Yes. David Wallstrom 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.

Is David Wallstrom affiliated with any hospitals?

According to CMS data, David Wallstrom is affiliated with Mid Coast Hospital.

When was this NPI record last updated?

The NPPES record for David Wallstrom was last updated on May 19, 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.