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BRANDI LYON NICKERSON PA-C
NPI 1083164933
Physician Assistant - Medical in Bangor, ME

Active since October 04, 2016PECOS EnrolledAccepts Medicare Assignment
1 NORTHEAST DR, BANGOR, ME 04401(207) 275-3800 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2021, Nov 11, 2020, Apr 6, 2020 (3 updates tracked since 2020).

About Brandi Lyon Nickerson Pa-c NPPES

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

BRANDI LYON NICKERSON PA-C (NPI 1083164933) is an individual medical provider in Bangor, Maine, licensed in Maine (PA1652) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Northern Light A R Gould Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083164933
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBRANDI LYON NICKERSONCredential: PA-C
Location Address1 NORTHEAST DRBangor, ME 04401-4332
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006
Phone(207) 275-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 4, 2016
Last NPPES UpdateFebruary 19, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1083164933 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 · PA1652
1 NORTHEAST DR, Bangor, ME 04401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandi Lyon Nickerson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284915281
PECOS Enrollment IDI20170106000166
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
52 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light A R Gould Hospital

Acute Care Hospitals · Presque Isle, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200018
LocationPO Box 151Presque Isle, ME 04769 · Aroostook County
Emergency services Birthing friendly

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Mayo Hospital

Critical Access Hospitals · Dover Foxcroft, ME
OwnershipGovernment - Hospital District or Authority
CMS Certification Number201309
Location897 West Main StreetDover Foxcroft, ME 04426 · Piscataquis County
Emergency services Birthing friendly

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.

EDDY KARNABI MD PHD
Internal Medicine (Cardiovascular Disease)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800
DIANE M HILL MSN
Nurse Practitioner (Adult Health)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800
SVERRIR I GUNNARSSON M.D.
Internal Medicine (Cardiovascular Disease)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800
ETHAN ANTHONY GETZ
Physician Assistant
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800
DR. ANAS MOHAMMED ZAID MANSOUR M.D
Internal Medicine (Cardiovascular Disease)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800
EDWARD J ZIMMERMAN PAC
Physician Assistant (Medical)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800
CHELSEA KAMENS
Nurse Practitioner (Family)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800
SRIKANTH ASWIN RADHAKRISHNAN MD
Internal Medicine (Interventional Cardiology)
1 NORTHEAST DR
BANGOR, ME 04401
Penobscot County (207) 275-3800

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 Brandi Nickerson's NPI number?

The NPI number for Brandi Nickerson is 1083164933. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Brandi Nickerson located?

Brandi Nickerson practices at 1 Northeast Dr, Bangor, ME 04401. The listed phone number is (207) 275-3800.

What is Brandi Nickerson's specialty?

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

Is Brandi Nickerson enrolled in Medicare?

Yes. Brandi Nickerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Brandi Nickerson affiliated with any hospitals?

According to CMS data, Brandi Nickerson is affiliated with Northern Light A R Gould Hospital, Northern Light Eastern Maine Medical Center and Northern Light Mayo Hospital.

When was this NPI record last updated?

The NPPES record for Brandi Nickerson was last updated on February 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.