Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Marie Rautenberg

Individual provider Medical Physician Assistant · NPI 1972033421

Amanda Marie Rautenberg is a Physician Assistant in Bangor, Maine. Qualified in 2017, 9 years ago. Practices with Eastern Maine Medical Center, a 659-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
9
Licensed in
ME
In the registry since
2017

Practice location Address checks out

1 NE Dr
Bangor, ME 04401-4332
Phone: (207) 275-3800
Fax: (207) 275-3836
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 140 Academy St, Presque Isle, ME 04769-3102 — (207) 768-4000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1710 (ME)

Record details

NPI number1972033421
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2017
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022
Mailing address43 Whiting Hill Rd Ste 300, Brewer, ME 04412-1006

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Eastern Maine Medical Center — 659 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bangor