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

Individual provider Physician Assistant · NPI 1992436661

Micaela Blaine Sulloway, PA-C is a Physician Assistant in Biddeford, Maine. Qualified in 2022, 4 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
4
Licensed in
ME
In the registry since
2022
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

1 Medical Center Dr
Biddeford, ME 04005-9422
Phone: (207) 283-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 335 Brighton Ave, Portland, ME 04102-2363 — (207) 662-0111
  • 22 Bramhall St, Portland, ME 04102-3134 — (207) 662-2381
  • 25a June St Ste 11, Sanford, ME 04073-2642 — (207) 490-7900
  • 25 June St, Sanford, ME 04073-2621 — (207) 490-7450

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2394 (ME)

Record details

NPI number1992436661
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 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 locations5 on file with Medicare

Other providers in Biddeford