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NINA TEKELENBURG
NPI 1740098771
Physician Assistant - Surgical in Bangor, ME

Active since December 23, 2024PECOS EnrolledAccepts Medicare Assignment
417 STATE ST STE 330, BANGOR, ME 04401(207) 973-8881(207) 973-8880 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2025, Dec 23, 2024 (2 updates tracked since 2024).

About Nina Tekelenburg NPPES

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

NINA TEKELENBURG (NPI 1740098771) is an individual surgical provider in Bangor, Maine 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 is a graduate of Other (2024).

NPPES Registry Identity

NPI1740098771
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNINA TEKELENBURG
Location Address417 STATE ST STE 330Bangor, ME 04401-6638
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5035 · Fax (207) 973-5042
Phone(207) 973-8881
Fax(207) 973-8880
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 23, 2024
Last NPPES UpdateApril 4, 20252 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1740098771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
417 STATE ST STE 330, 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

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

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)
417 STATE ST STE 330
BANGOR, ME 04401
Penobscot County (207) 973-8881
CALLI ANN LYNCH
Physician Assistant (Surgical)
417 STATE ST STE 330
BANGOR, ME 04401
Penobscot County (207) 973-8881
KELSIE ELIZABETH ESPLING PA-C
Physician Assistant (Surgical)
417 STATE ST STE 330
BANGOR, ME 04401
Penobscot County (207) 973-8881
MARIA MICHAILIDOU MD
Surgery
417 STATE ST STE 330
BANGOR, ME 04401
Penobscot County (207) 973-8881
DANIEL HETHERMAN M.D.
Surgery
417 STATE ST STE 330
BANGOR, ME 04401
Penobscot County (207) 973-8881
NORTHEAST SURGERY, P.A.
Surgery
417 STATE ST STE 330
BANGOR, ME 04401
Penobscot County (207) 947-5241
DR. JAMES LINCOLN CLARKE M.D.
Surgery
417 STATE ST STE 330
BANGOR, ME 04401
Penobscot County (207) 973-8881
MATTHEW EDWARD SHARBAUGH D.O.
Surgery
417 STATE ST STE 330
BANGOR, ME 04401
Penobscot County (207) 973-8881

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 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.

Where is Nina Tekelenburg located?

Nina Tekelenburg practices at 417 State St Ste 330, Bangor, ME 04401. The listed phone number is (207) 973-8881.

What is Nina Tekelenburg's specialty?

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

Is Nina Tekelenburg enrolled in Medicare?

Yes. Nina Tekelenburg 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.

Is Nina Tekelenburg affiliated with any hospitals?

According to CMS data, Nina Tekelenburg is affiliated with Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Nina Tekelenburg was last updated on April 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.