NICOLE LOUISE ROBITAILLE – Surgical Physician Assistant, NPI 1063076461
Surgical Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,167 PHYSICIAN ASSISTANT in ME
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Provider Addresses for NICOLE LOUISE ROBITAILLE
43 WHITING HILL RD
BREWER, ME 044121005
Phone: (079) 735-0352
Fax: (207) 973-5042
Type: Mailing
330, Kelley Road, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044016638
Phone: (207) 973-8881
Fax: (207) 973-8880
Type: Location
417 State St Ste 330
Bangor, ME 044016638
Phone: (207) 973-8881
Fax: (207) 973-8880
Type: Location
326 WASHINGTON ST
NORWICH, CT 063602740
Phone: (860) 889-8331
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200819003766 | I | Physician Assistant | ME | TBD |
| I20250314001981 | I | Physician Assistant | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04412)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Emergency Medicine | RI | |
| P S Y C H I A T R Y | MA | |
| Hematology/Oncology, Medical Oncology | NJ | |
| Hospitalist, Internal Medicine | NY | |
| Physician Assistant | CT | |
| Physician Assistant | GA | |
| Internal Medicine | CT | |
| Physician Assistant | RI | |
| Physician Assistant | MA |
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