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

Individual provider Medical Physician Assistant · NPI 1083164933

Brandi Lyon Nickerson, PA-C is a Physician Assistant in Bangor, Maine. Qualified in 2016, 10 years ago. Practices with Eastern Maine Medical Center, a 659-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
10
Licensed in
ME
In the registry since
2016
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

1 NE Dr
Bangor, ME 04401-4332
Phone: (207) 275-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1652 (ME)

Record details

NPI number1083164933
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2016
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Eastern Maine Medical Center — 659 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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