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

Nicole K Moore, PAC

Individual provider Medical Physician Assistant · NPI 1679988737

Nicole K Moore, PAC is a Physician Assistant in Bangor, Maine. Qualified in 2014, 12 years ago. Practices with York Hospital, a 206-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
12
Licensed in
ME
In the registry since
2014
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

992 Union St Ste 5
Bangor, ME 04401-3057
Phone: (207) 992-2601
Fax: (207) 404-8351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 489 State St, Bangor, ME 04401 — (207) 973-6605
  • 43 Whiting Hill Rd Ste 300, Brewer, ME 04412-1006 — (207) 973-4266

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1477 (ME)

Record details

NPI number1679988737
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 27, 2014
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice York Hospital — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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