NICOLE MAHER BECKER (PA-C) – Family Medicine Physician, NPI 1124542386

NICOLE MAHER BECKER (PA-C) is a healthcare provider. based in Bangor, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1798 (NH). The NPI Number for NICOLE MAHER BECKER (PA-C) is 1124542386

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MAHER BECKER (PA-C)
NPI
1124542386
Phone
(207) 404-8200
Address
PO BOX 1599
Enumeration Date
31 July 2017
Last Update Date
24 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
6033565461
Graduation Year
2017 (9 years ago)
PAC ID
4789956947
Group Practice PAC ID
2365418993
Professional Enrollment ID
I20211214001749
Address ID
NH038607101NO3073XHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

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Provider Addresses for NICOLE MAHER BECKER (PA-C)

  • 1599, Pushaw Road, East Bangor, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044021599

    Phone: (207) 404-8200

    Fax: (207) 947-0435

    Type: Mailing

  • 992, Union Street, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044013057

    Phone: (207) 992-2601

    Fax: (207) 404-8351

    Type: Location

  • 3073 WHITE MOUNTAIN HWY

    NORTH CONWAY, NH 038607101

    Phone:

    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: 2021-12-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170823000598IPhysician AssistantMETBD
I20211214001749IPhysician AssistantNHTBD

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.

Verify on CMS Revalidation Lookup Tool

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 04402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365418993View full group profile
NameSpecialtyState
Physician AssistantNH
Family PracticeNH
Cardiovascular Disease (Cardiology)ME
Family PracticeNH
Nurse PractitionerNH
Family PracticeNH
Family PracticeNH
General SurgeryVA
General SurgeryGA
Internal Medicine, HospitalistNH

Reviews

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Frequently asked questions

Can I use this page to confirm NICOLE MAHER BECKER (PA-C)'s NPI?
Yes. NICOLE MAHER BECKER (PA-C) is listed with NPI 1124542386 in the public NPI dataset.
Does CMS list NICOLE MAHER BECKER (PA-C) as active?
Yes — NICOLE MAHER BECKER (PA-C) is active in the NPI listing used on this page.
What is NICOLE MAHER BECKER (PA-C)'s primary classification?
Family Medicine Physician is the headline specialty for NICOLE MAHER BECKER (PA-C) here. Clinical services aligned with this taxonomy classification.
Does NICOLE MAHER BECKER (PA-C) list a practice location?
Patients near Bangor, Maine may find NICOLE MAHER BECKER (PA-C) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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