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

Michaela Beatrie Kelly, PA-C

Individual provider Physician Assistant · NPI 1669117636

Michaela Beatrie Kelly, PA-C is a Physician Assistant in Bangor, Maine. Qualified in 2021, 5 years ago. Practices with Eastern Maine Medical Center, a 659-clinician group and accepts Medicare assignment.

Years since qualifying
5
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

885 Union St Ste 145
Bangor, ME 04401-3073
Phone: (207) 973-9595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1669117636
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 3, 2022
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Eastern Maine Medical Center — 659 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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