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

Nina Tekelenburg

Individual provider Surgical Physician Assistant · NPI 1740098771

Nina Tekelenburg is a Physician Assistant in Bangor, Maine. Qualified in 2024, 2 years ago. Practices with Eastern Maine Medical Center, a 659-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
2
Licensed in
ME
In the registry since
2024
Specialties on file
2

Practice location Address checks out

417 State St Ste 330
Bangor, ME 04401-6638
Phone: (207) 973-8881
Fax: (207) 973-8880
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (ME)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1740098771
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 23, 2024
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025
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 2024 (2 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