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KARLI SULLIVAN PA
NPI 1679259014
Physician Assistant - Surgical in Portland, ME

Active since June 22, 2023PECOS EnrolledAccepts Medicare Assignment
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2934(207) 662-6389 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2026, Jan 5, 2026, May 28, 2025 and 5 more (8 updates tracked since 2023).

About Karli Sullivan Pa NPPES

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

KARLI SULLIVAN PA (NPI 1679259014) is an individual surgical provider in Portland, Maine, licensed in Maine (PA2826) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679259014
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKARLI SULLIVANCredential: PA
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-2934 · Fax (207) 662-6389
Phone(207) 662-2934
Fax(207) 662-6389
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 22, 2023
Last NPPES UpdateMay 13, 20268 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1679259014 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
Licenses✔ Licensed in ME · PA2826✔ Licensed in NJ · 25MP00790300
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA2826 (ME)
22 BRAMHALL ST, Portland, ME 04102
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Capital Way Ste 390Pennington, NJ 08534-2520 · Phone (732) 426-3420
Location 2887 Congress St Ste 400Portland, ME 04102-3163 · Phone (207) 774-6368 · Fax (207) 774-9388

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

Karli Sullivan Pa 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 ID8325494107
PECOS Enrollment IDI20250605000348
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.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

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.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Karli Sullivan's NPI number?

The NPI number for Karli Sullivan is 1679259014. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Karli Sullivan located?

Karli Sullivan practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2934.

What is Karli Sullivan's specialty?

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

Is Karli Sullivan enrolled in Medicare?

Yes. Karli Sullivan 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 Karli Sullivan affiliated with any hospitals?

According to CMS data, Karli Sullivan is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Karli Sullivan was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.