KATHERINE DAWN NICKERSON (O.D.) – Optometrist, NPI 1881079192

KATHERINE DAWN NICKERSON (O.D.) is a healthcare provider. based in Bangor, Maine. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT966 (ME). The NPI Number for KATHERINE DAWN NICKERSON (O.D.) is 1881079192

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE DAWN NICKERSON (O.D.)
NPI
1881079192
Phone
(207) 561-3600
Address
35 STATE HOSPITAL DR
Enumeration Date
28 July 2015
Last Update Date
5 October 2015

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
2077732020
Graduation Year
2015 (11 years ago)
PAC ID
5395034029
Group Practice PAC ID
3274620562
Professional Enrollment ID
I20160518002287
Address ID
ME041014089PO455XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

219 OPTOMETRY in ME

Provider Addresses for KATHERINE DAWN NICKERSON (O.D.)

  • 35 STATE HOSPITAL DR

    BANGOR, ME 044018816

    Phone: (207) 561-3600

    Mailing address matches the actual address.

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: 2016-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160518002287IOptometryMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens1,99019$0
92014Established patient complete exam of visual system234234$0
99214Established patient office or other outpatient visit, 30-39 minutes10776$0
92134Imaging of retina6453$0
92083Exam of visual field with extended testing4741$0
View full utilization report →

Insurance plans in this area (ZIP 04401)

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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: 3274620562View full group profile
NameSpecialtyState
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YME
-ME
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YME

Reviews

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Frequently asked questions

How is KATHERINE DAWN NICKERSON (O.D.) identified in CMS data?
CMS-hosted NPPES data lists KATHERINE DAWN NICKERSON (O.D.) with NPI 1881079192.
Can I rely on KATHERINE DAWN NICKERSON (O.D.) being an active provider?
As of the registry snapshot, KATHERINE DAWN NICKERSON (O.D.) is marked active.
What is KATHERINE DAWN NICKERSON (O.D.)'s specialty?
The listing groups KATHERINE DAWN NICKERSON (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is KATHERINE DAWN NICKERSON (O.D.) based?
KATHERINE DAWN NICKERSON (O.D.) is tied to Bangor, Maine in the data we show; additional addresses may exist on the full record.
Why does KATHERINE DAWN NICKERSON (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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