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NICOLE GRADY PA, ATC
NPI 1356843940
Physician Assistant - Surgical in Biddeford, ME

Active since February 28, 2018PECOS Enrolled
46 BARRA RD STE 103, BIDDEFORD, ME 04005(207) 283-1126(207) 294-3544 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2025, Oct 2, 2024, Feb 28, 2018 (3 updates tracked since 2018).

About Nicole Grady Pa, Atc NPPES

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

NICOLE GRADY PA, ATC (NPI 1356843940) is an individual surgical provider in Biddeford, Maine, licensed in Maine (PA2817) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356843940
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICOLE GRADYCredential: PA, ATC
Location Address46 BARRA RD STE 103Biddeford, ME 04005-9461
Mailing Address46 Barra Rd Ste 103Biddeford, ME 04005-9461 · (207) 283-1126 · Fax (207) 294-3544
Phone(207) 283-1126
Fax(207) 294-3544
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 28, 2018
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1356843940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ME · PA2817
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AT805 (ME)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA2817 (ME)
46 BARRA RD STE 103, Biddeford, ME 04005
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111 Hills Beach RdBiddeford, ME 04005-9526 · Phone (207) 283-0171
Location 225A June St Ste 16Sanford, ME 04073-2615 · Phone (207) 324-1488 · Fax (207) 490-5733

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Grady Pa, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315462884
PECOS Enrollment IDI20250416003419
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.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

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

DR. CHRISTIAN BASQUE M.D.
Family Medicine (Sports Medicine)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
York County (207) 283-1126
ERIC N SMITH PA
Physician Assistant (Surgical)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
York County (207) 283-1126
MATTHEW DONALD BUSH M.D.
Orthopaedic Surgery
46 BARRA RD STE 103
BIDDEFORD, ME 04005
York County (207) 283-1126
DR. JEFFREY L BUSH M.D.
Orthopaedic Surgery
46 BARRA RD STE 103
BIDDEFORD, ME 04005
York County (207) 286-1126
WESLEY SULLOWAY PA-C
Physician Assistant (Surgical)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
York County (207) 283-1126
RYAN M DOLAN LAT, ATC, OTC
Specialist/Technologist (Athletic Trainer)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
York County (207) 283-1126
SUZANNE BAGIN BOHLMANN PA-C
Physician Assistant (Surgical)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
York County (207) 283-1126
GREGORY A TAGGART MD
Orthopaedic Surgery (Foot and Ankle Surgery)
46 BARRA RD STE 103
BIDDEFORD, ME 04005
York County (207) 283-1126

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 Grady's NPI number?

The NPI number for Nicole Grady is 1356843940. It was assigned to this individual provider in the NPPES registry on February 28, 2018.

Where is Nicole Grady located?

Nicole Grady practices at 46 Barra Rd Ste 103, Biddeford, ME 04005. The listed phone number is (207) 283-1126.

What is Nicole Grady's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nicole Grady enrolled in Medicare?

Yes. Nicole Grady is registered in the Medicare PECOS enrollment system.

Is Nicole Grady affiliated with any hospitals?

According to CMS data, Nicole Grady is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Grady was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.