MS. KYLE THERESA MCCLINTOCK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053629857
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
533 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ME
Provider Addresses for MS. KYLE THERESA MCCLINTOCK (CRNA)
29 MARY LN
CUMBERLAND FORESIDE, ME 041101442
Phone: (860) 280-5125
Type: Mailing
175 FORE RIVER PKWY
PORTLAND, ME 041022779
Phone: (207) 879-3000
Type: Location
435 Lewis Ave
Meriden, CT 064512101
Phone: (203) 694-8200
Type: Location
22 Bramhall St
Portland, ME 041023175
Phone: (207) 662-0111
Type: Location
558 WHITNEY AVE
#2
NEW HAVEN, CT 065112229
Phone: (860) 280-5125
Type: Mailing
1423 CHAPEL ST
NEW HAVEN, CT 065114411
Phone: (203) 865-3852
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110311000204 | I | Certified Registered Nurse Anesthetist (Crna) | CT | TBD |
| I20221107002926 | I | Certified Registered Nurse Anesthetist (Crna) | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | CT | |
| Certified Registered Nurse Anesthetist (Crna) | CT | |
| Critical Care (Intensivists) | CT | |
| Certified Registered Nurse Anesthetist (Crna) | CT | |
| A N E S T H E S I O L O G Y | CT | |
| - | CT | |
| - | CT | |
| Certified Registered Nurse Anesthetist (Crna) | CT | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | CT |
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