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

Shannon McCrillis, PA

Individual provider Physician Assistant · NPI 1245914027

Shannon McCrillis, PA is a Physician Assistant in Portland, Maine. Qualified in 2023, 3 years ago. Practices with Mainehealth, a 2,615-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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.

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Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 662-5610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1245914027
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 13, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023

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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