Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. KYLE M ST. JOHN PA-C
NPI 1942413877
Physician Assistant in Portland, ME

Active since May 07, 2007PECOS Enrolled
33 SEWALL ST, PORTLAND, ME 04102(207) 828-2100(207) 553-7166 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Jul 6, 2026, Feb 2, 2026 (3 updates tracked since 2026).

About Mr. Kyle M St. John Pa-c NPPES

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

MR. KYLE M ST. JOHN PA-C (NPI 1942413877) is an individual physician assistant in Portland, Maine, licensed in Maine (PA2989) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Stanford University School Of Medicine (2001).

NPPES Registry Identity

NPI1942413877
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KYLE M ST. JOHNCredential: PA-C
Location Address33 SEWALL STPortland, ME 04102-2638
Mailing Address33 Sewall StPortland, ME 04102-2638 · (207) 828-2100 · Fax (207) 553-7166
Fax(207) 553-7166
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 2001
Enumeration DateMay 7, 2007
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1942413877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ME · PA2989 Licensed in CA · PA15865
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
33 SEWALL ST, Portland, ME 04102

Secondary Practice Locations 3

Location 14 Commons Ave Ste AWindham, ME 04062-5554 · Phone (207) 828-2100 · Fax (207) 553-7166
Location 214 Thomas Point RdBrunswick, ME 04011-3911 · Phone (207) 828-2100 · Fax (207) 553-7166
Location 322 Station Ave Ste 201Brunswick, ME 04011-2092 · Phone (207) 828-2100 · Fax (207) 553-7166

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

Mr. Kyle M St. John 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 ID6204140494
PECOS Enrollment IDI20260210003831
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.

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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
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.

Specialist/Technologist (Athletic Trainer)
33 SEWALL ST
PORTLAND, ME 04102
Physician Assistant
33 SEWALL ST
PORTLAND, ME 04102
Occupational Therapist
33 SEWALL ST
PORTLAND, ME 04102
Physical Medicine & Rehabilitation
33 SEWALL ST
PORTLAND, ME 04102
Physician Assistant (Surgical)
33 SEWALL ST
PORTLAND, ME 04102
Occupational Therapist
33 SEWALL ST
PORTLAND, ME 04102
Specialist/Technologist (Athletic Trainer)
33 SEWALL ST
PORTLAND, ME 04102
Orthopaedic Surgery (Hand Surgery)
33 SEWALL ST
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 St. John's NPI number?

The NPI number for Kyle St. John is 1942413877. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Kyle St. John located?

Kyle St. John practices at 33 Sewall St, Portland, ME 04102. The listed phone number is (207) 828-2100.

What is Kyle St. John's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyle St. John enrolled in Medicare?

Yes. Kyle St. John 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.

When was this NPI record last updated?

The NPPES record for Kyle St. John was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.