Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Marie Ballard, PA-C

Individual provider Physician Assistant · NPI 1316352362

Kathleen Marie Ballard, PA-C is a Physician Assistant in Portland, Maine. Qualified in 2013, 13 years ago. Practices with Mainehealth, a 2,615-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
13
Licensed in
ME
In the registry since
2014
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) 774-2381
Fax: (207) 774-0459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1494 (ME)

Record details

NPI number1316352362
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 29, 2014
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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