Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NINA TEKELENBURG
NPI 1740098771
Physician Assistant in Bangor, ME

Q: What is Nina Tekelenburg's NPI number?

The NPI number for Nina Tekelenburg is 1740098771. It was assigned to this individual provider in the NPPES registry on December 23, 2024.

Q: What is Nina Tekelenburg'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 Nina Tekelenburg was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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 December 23, 2024PECOS Enrolled

417 STATE ST STE 330, BANGOR, ME 04401(207) 973-8881(207) 973-8880 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 29, 2026, Apr 4, 2025, Dec 23, 2024 (3 updates tracked since 2024).

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About Nina Tekelenburg NPPES

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

NINA TEKELENBURG (NPI 1740098771) is an individual physician assistant in Bangor, Maine, licensed in New Hampshire (3691) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740098771

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNINA TEKELENBURG

Location Address417 STATE ST STE 330Bangor, ME 04401-6638

Mailing Address250 Pleasant StConcord, NH 03301-7559 · (603) 227-7000 · Fax (603) 227-7827

Phone(207) 973-8881

Fax(207) 973-8880

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 23, 2024

Last NPPES UpdateOctober 29, 20263 updates tracked since enumeration

NPPES CertifiedOctober 29, 2026

✔ NPI 1740098771 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 NH · 3691

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

417 STATE ST STE 330, Bangor, ME 04401

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Secondary Practice Locations 2

Location 160 Commercial StConcord, NH 03301-5071 · Phone (603) 789-9150 · Fax (603) 227-7592

Location 2246 Pleasant StConcord, NH 03301-2548 · Phone (603) 224-3388 · Fax (603) 227-7592

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

Nina Tekelenburg 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 ID5597262147

PECOS Enrollment IDI20251009001372

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 12

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

DR. STEVEN D KOZUSKO MD, MED

Surgery (Plastic and Reconstructive Surgery)