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

Karli Sullivan, PA

Individual provider Surgical Physician Assistant · NPI 1679259014

Karli Sullivan, PA 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 and New Jersey.

Years since qualifying
3
Licensed in
ME, NJ
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-2934
Fax: (207) 662-6389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 887 Congress St Ste 400, Portland, ME 04102-3163 — (207) 774-6368
  • 1 Capital Way Ste 390, Pennington, NJ 08534-2520 — (732) 426-3420

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA2826 (ME)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00790300 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence PA2826 (ME)

Record details

NPI number1679259014
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 22, 2023
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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

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