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

Jason David Mudge, PA

Individual provider Surgical Physician Assistant · NPI 1912638214

Jason David Mudge, PA is a Physician Assistant in Portland, Maine. Qualified in 2022, 4 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
4
Licensed in
ME
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-2934
Fax: (207) 662-6389
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 46 Barra Rd Ste 103, Biddeford, ME 04005-9461 — (207) 283-1126
  • 1 Medical Center Dr, Biddeford, ME 04005-9422 — (207) 283-7937
  • 22 Bramhall St, Portland, ME 04102-3134 — (207) 662-4618
  • 887 Congress St Ste 400, Portland, ME 04102-3163 — (207) 774-6368
  • 15 Lund Rd, Saco, ME 04072-1806 — (207) 294-8960
  • 25 June St, Sanford, ME 04073-2621 — (207) 324-4310

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA2402 (ME)
Physician Assistant Taxonomy 363A00000X · Licence PA2402 (ME)

Record details

NPI number1912638214
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 18, 2022
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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