CRAIG J PEDERSEN PA-C
NPI 1073566329
Physician Assistant - Medical in Bangor, ME

Active since May 18, 2006PECOS Enrolled
489 STATE ST, BANGOR, ME 04401(207) 973-7000(207) 973-5042 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Craig J Pedersen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG J PEDERSEN PA-C (NPI 1073566329) is an individual medical provider in Bangor, Maine, licensed in Maine (PA-303) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073566329
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCRAIG J PEDERSENCredential: PA-C
Location Address489 STATE STBangor, ME 04401-6616
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5035 · Fax (207) 973-5042
Fax(207) 973-5042
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 2, 2010
NPI 1073566329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ME · PA-303
489 STATE ST, Bangor, ME 04401

Other Identifiers 4

Medicaid332430099ME
Medicare UPINS31625ME
Medicare ID-Type UnspecifiedAP1118ME
Medicare PIN015547ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Craig J Pedersen Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
489 STATE ST
BANGOR, ME 04401
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Physician Assistant (Surgical)
489 STATE ST
BANGOR, ME 04401
Family Medicine
489 STATE ST
BANGOR, ME 04401
Nurse Practitioner
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Hospitalist
489 STATE ST
BANGOR, ME 04401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Pedersen's NPI number?

The NPI number for Craig Pedersen is 1073566329. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Craig Pedersen located?

Craig Pedersen practices at 489 State St, Bangor, ME 04401. The listed phone number is (207) 973-7000.

What is Craig Pedersen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Craig Pedersen enrolled in Medicare?

Yes. Craig Pedersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Craig Pedersen was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.