Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NAOMI LYNN CRILLEY PA
NPI 1508334954
Physician Assistant - Surgical in Portland, ME

Q: What is Naomi Crilley's NPI number?

The NPI number for Naomi Crilley is 1508334954. It was assigned to this individual provider in the NPPES registry on November 4, 2018.

Q: What is Naomi Crilley'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 Naomi Crilley was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 November 04, 2018PECOS Enrolled

818 CONGRESS ST, PORTLAND, ME 04102(207) 773-8161(207) 773-1489 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2019, Nov 4, 2018 (2 updates tracked since 2018).

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About Naomi Lynn Crilley Pa NPPES

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

NAOMI LYNN CRILLEY PA (NPI 1508334954) is an individual surgical provider in Portland, Maine, licensed in Maine (PA3143) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1508334954

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameNAOMI LYNN CRILLEYCredential: PA

Location Address818 CONGRESS STPortland, ME 04102-3112

Mailing Address818 Congress StPortland, ME 04102-3112 · (207) 773-8161 · Fax (207) 773-1489

Phone(207) 773-8161

Fax(207) 773-1489

Sole ProprietorNo

Enumeration DateNovember 4, 2018

Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration

NPPES CertifiedOctober 20, 2026

✔ NPI 1508334954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363AS0400X

License✔ Licensed in ME · PA3143

Also ListedPhysician AssistantTaxonomy 363A00000X · License 6968 (MA), PA3143 (ME)

818 CONGRESS ST, Portland, ME 04102

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Secondary Practice Location 1

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Naomi Lynn Crilley Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

PATRICIA MAE WIELER NP

Nurse Practitioner (Acute Care)