NICOLE K MOORE (PAC) – Medical Physician Assistant, NPI 1679988737
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,167 PHYSICIAN ASSISTANT in ME
Provider Addresses for NICOLE K MOORE (PAC)
43 WHITING HILL RD STE 300
BREWER, ME 044121006
Phone:
Type: Mailing
447 N MAIN ST
PITTSFIELD, ME 049673707
Phone: (207) 487-4000
Type: Location
43 Whiting Hill Rd Ste 300
Brewer, ME 044121006
Phone: (207) 973-4266
Type: Location
489 State St
Kelly 6
Bangor, ME 04401
Phone: (207) 973-6605
Type: Location
PO BOX 1599
BANGOR, ME 044021599
Phone: (207) 404-8200
Fax: (207) 947-0435
Type: Mailing
992 UNION ST STE 5
BANGOR, ME 044013057
Phone: (207) 992-2601
Fax: (207) 404-8351
Type: Location
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: 2025-04-21
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 |
|---|---|---|---|---|
| I20140912000310 | I | Physician Assistant | ME | TBD |
| I20250421000030 | I | Physician Assistant | NH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 862 | 243 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 572 | 249 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 212 | 91 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 80 | 35 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 69 | 26 | $0 |
Insurance plans in this area (ZIP 04412)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Family Practice | ME | |
| Physician Assistant | ME | |
| Family Practice | NY | |
| Internal Medicine | VA | |
| Physician Assistant | ME | |
| Emergency Medicine | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Internal Medicine | ME |
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