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NICOLE MARIE DOWNEY
NPI 1154109270
Physician Assistant in Portland, ME

Active since September 19, 2023PECOS EnrolledAccepts Medicare Assignment
716 STEVENS AVE, PORTLAND, ME 04103(207) 283-0171 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Nicole Marie Downey NPPES

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

NICOLE MARIE DOWNEY (NPI 1154109270) is an individual physician assistant in Portland, Maine and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1154109270
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE MARIE DOWNEY
Location Address716 STEVENS AVEPortland, ME 04103-2693
Mailing Address16 Prescott DrKennebunkport, ME 04046-5535
Phone(207) 283-0171
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1154109270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
716 STEVENS AVE, Portland, ME 04103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Nicole Marie Downey 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 ID2466992094
PECOS Enrollment IDI20240910004194
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.

Hospital Affiliations CMS Care Compare 2

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

KASSIDY ANN COLLINS
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4529
DR. ALBERT GALLEMIT ABENA D.D.S.
Dentist
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4687
ALIYAH ROSE MURPHY
Physician Assistant
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
JULIA CARTFORD
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4516
JESSICA KELLY
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 283-0171
STEPHANIE MONIZ
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4516
CYNTHIA CRYSTAL TANG
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 602-2329
MIKAYLA ANN THOMPSON
Student in an Organized Health Care Education/Training Program
716 STEVENS AVE
PORTLAND, ME 04103
Cumberland County (207) 221-4529

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 Nicole Downey's NPI number?

The NPI number for Nicole Downey is 1154109270. It was assigned to this individual provider in the NPPES registry on September 19, 2023.

Where is Nicole Downey located?

Nicole Downey practices at 716 Stevens Ave, Portland, ME 04103. The listed phone number is (207) 283-0171.

What is Nicole Downey's specialty?

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

Is Nicole Downey enrolled in Medicare?

Yes. Nicole Downey 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 Nicole Downey accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicole Downey 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 Nicole Downey affiliated with any hospitals?

According to CMS data, Nicole Downey is affiliated with Anna Jaques Hospital and Northeast Hospital Corporation.

When was this NPI record last updated?

The NPPES record for Nicole Downey was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.