NICOLE K MOORE PAC
NPI 1679988737
Physician Assistant - Medical in Bangor, ME

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment

992 UNION ST STE 5, BANGOR, ME 04401(207) 992-2601(207) 404-8351 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 6, 2021, Mar 17, 2018, Nov 14, 2017 and 2 more (5 updates tracked since 2016).

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About Nicole K Moore Pac NPPES

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

NICOLE K MOORE PAC (NPI 1679988737) is an individual medical provider in Bangor, Maine, licensed in Maine (PA1477) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679988737

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNICOLE K MOORECredential: PAC

Location Address992 UNION ST STE 5Bangor, ME 04401-3057

Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 404-8200 · Fax (207) 947-0435

Phone(207) 992-2601

Fax(207) 404-8351

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 27, 2014

Last NPPES UpdateMay 6, 20215 updates tracked since enumeration

NPPES CertifiedMay 6, 2021

✔ NPI 1679988737 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 · PA1477

992 UNION ST STE 5, Bangor, ME 04401

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Secondary Practice Locations 2

Location 1489 State St, Kelly 6Bangor, ME 04401 · Phone (207) 973-6605

Location 243 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · Phone (207) 973-4266

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 K Moore Pac 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 ID7315166071

PECOS Enrollment IDI20140912000310

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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

208 services103 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

197 services74 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

187 services75 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

97 services61 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

51 services32 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

43 services36 patients

Hospital Affiliations CMS Care Compare

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

York Hospital

Acute Care Hospitals · York, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200020

Location15 Hospital DriveYork, ME 03909 · York County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims372 services$5.37 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims4,635 services$0.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

JESSICA L MACPHAIL NP

Nurse Practitioner (Family)