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Nicole K. Moore, PAC

NPI 1679988737ActiveIndividual· Physician Assistant, Medical· Bangor, ME

Physician Assistant, Medical (PAC) with York Hospital and 3 other groups, practicing in Bangor, Maine. Their prescriptions cost Medicare Part D more than their services did: $356,956 for 6,329 claims, against $56,148 paid for services in 2024. Lists York Hospital as a hospital affiliation.

Overview

NPI1679988737
StatusActive
Entity typeIndividual
CredentialPAC
Sole proprietorNo
NPI issuedJun 27, 2014
Last updated in NPPESMay 6, 2021
Certified by providerMay 6, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700XPA1477ME

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (ME); Practitioner - Physician Assistant (NH)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients239
Services billed903 across 12 procedure codes
Paid by Medicare$56,148

Part D prescriptions in 2024

Prescriptions (claims)6,329 · 6,354 30-day fills
Patients304
Total drug cost$356,956
Generic share78% of claims

Medicare sources and data years

Education and affiliations

Graduation year2014
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Bangor

All 36 physician assistants in Bangor · All physician assistants in Maine