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

Individual provider Medical Physician Assistant · NPI 1356956239

Amanda Roberts, PA-C is a Physician Assistant in Bangor, Maine. Qualified in 2020, 6 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

489 State St
Bangor, ME 04401-6674
Phone: (207) 973-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Mall Rd, Burlington, MA 01805-6674 — (781) 744-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9431 (MA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1356956239
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2020
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
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 2020 (6 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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