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

Nicolas Robert Fenton, PA

Individual provider Physician Assistant · NPI 1760079503

Nicolas Robert Fenton, PA is a Physician Assistant in Portland, Maine. Qualified in 2021, 5 years ago. Practices with Martin's Point Health Care, Inc, a 90-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

331 Veranda St
Portland, ME 04103-5545
Phone: (207) 828-2402
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2331 (ME)

Record details

NPI number1760079503
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 28, 2020
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Martin'S Point Health Care, Inc. — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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