NICHOLAS JOHN CAMPBELL MSPAS, PA-C
NPI 1255121513
Physician Assistant in Bangor, ME

Q: What is Nicholas Campbell's NPI number?

The NPI number for Nicholas Campbell is 1255121513. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Q: What is Nicholas Campbell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Campbell was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since May 09, 2025PECOS EnrolledAccepts Medicare Assignment

1 NORTHEAST DR, BANGOR, ME 04401(207) 275-5000(207) 275-3836 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 25, 2025, May 9, 2025 (2 updates tracked since 2025).

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About Nicholas John Campbell Mspas, Pa-c NPPES

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

NICHOLAS JOHN CAMPBELL MSPAS, PA-C (NPI 1255121513) is an individual physician assistant in Bangor, Maine and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255121513

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameNICHOLAS JOHN CAMPBELLCredential: MSPAS, PA-C

Location Address1 NORTHEAST DRBangor, ME 04401-4332

Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5000 · Fax (207) 973-5042

Phone(207) 275-5000

Fax(207) 275-3836

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 9, 2025

Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1255121513 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.

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

Nicholas John Campbell Mspas, 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 ID4981190725

PECOS Enrollment IDI20251231002673

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

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

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

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.

DIANE M HILL MSN

Nurse Practitioner (Adult Health)