Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Santerian Boutselis, PA-C

Individual provider Physician Assistant · NPI 1396467122

Amy Santerian Boutselis, PA-C is a Physician Assistant in Portland, Maine. Qualified in 2023, 3 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
3
Licensed in
ME
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-4078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 193 Bath Rd, Brunswick, ME 04011-2607 — (207) 424-2272
  • 360 Route 1 Byp Unit 102, Portsmouth, NH 03801-7105 — (603) 410-6700

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA2604 (ME)
Physician Assistant Taxonomy 363A00000X · Licence PA2604 (ME)

Record details

NPI number1396467122
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2022
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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