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AMY NICOLE WILLIAMSON PA
NPI 1083896724
Physician Assistant in Bangor, ME

Active since December 05, 2007PECOS EnrolledAccepts Medicare Assignment
417 STATE ST, WEBBER EAST SUITE 200, BANGOR, ME 04401(207) 973-6555(207) 973-6554 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2017, Nov 23, 2015 (2 updates tracked since 2015).

About Amy Nicole Williamson Pa NPPES

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

AMY NICOLE WILLIAMSON PA (NPI 1083896724) is an individual physician assistant in Bangor, Maine, licensed in Montana (549) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of University Of South Alabama College Of Medicine (2007).

NPPES Registry Identity

NPI1083896724
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY NICOLE WILLIAMSONCredential: PA
Location Address417 STATE ST, WEBBER EAST SUITE 200Bangor, ME 04401-6630
Mailing Address43 Whiting Hill RdBrewer, ME 04412-1005 · (207) 973-5035 · Fax (207) 973-5042
Phone(207) 973-6555
Fax(207) 973-6554
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2007
Enumeration DateDecember 5, 2007
Last NPPES UpdateApril 12, 20172 updates tracked since enumeration
✔ NPI 1083896724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MT · 549
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA1324 (ME)
417 STATE ST, Bangor, ME 04401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Select Health.Insurance ›

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

Amy Nicole Williamson Pa 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 ID42381832
PECOS Enrollment IDI20230503003475
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. AMANDA GAIL QUERRY D.O.
Obstetrics & Gynecology
417 STATE ST, WEBBER WEST, SUITE 141
BANGOR, ME 04401
Penobscot County (207) 973-4670
MURRAY DANA LEBOWITZ M.D.
Obstetrics & Gynecology
417 STATE ST, WEBBER WEST SUITE 141
BANGOR, ME 04401
Penobscot County (207) 973-4670
CHUNG HO SHUM M.D., PH.D.
Pathology (Anatomic Pathology & Clinical Pathology)
417 STATE ST, WEBBER WEST 541
BANGOR, ME 04401
Penobscot County (207) 941-8200
MS. ERIKA LYNN BAILEY RPH
Pharmacist
417 STATE ST, SUITE 130
BANGOR, ME 04401
Penobscot County (207) 973-8888
TIMOTHY UNGER
Orthopaedic Surgery (Orthopaedic Trauma)
417 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-4949
KOBE MALIK HAMBY PA-C
Physician Assistant
417 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-9949
THOMAS RAJAN MD
Internal Medicine (Pulmonary Disease)
417 STATE ST, STE 400
BANGOR, ME 04401
Penobscot County (207) 973-8852
DR. FLAVIAN MARK LUPINETTI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
417 STATE ST, SUITE 421
BANGOR, ME 04401
Penobscot County (207) 973-5293

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 Amy Williamson's NPI number?

The NPI number for Amy Williamson is 1083896724. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Where is Amy Williamson located?

Amy Williamson practices at 417 State St Webber East Suite 200, Bangor, ME 04401. The listed phone number is (207) 973-6555.

What is Amy Williamson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amy Williamson enrolled in Medicare?

Yes. Amy Williamson 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.

What insurance does Amy Williamson accept?

Health plans from Providence Health Plan and Select Health list Amy Williamson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amy Williamson affiliated with any hospitals?

According to CMS data, Amy Williamson is affiliated with Portneuf Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Williamson was last updated on April 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.