Nicole Nelson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bangor, ME

Nicole Nelson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bangor, Maine. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice St Joseph Hospital and her current practice location is 360 Broadway, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 907-1430.

Nicole Nelson is licensed to practice in Maine (license number RNA173045) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639571227.

Contact Information

Nicole Nelson, CRNA
360 Broadway,
Bangor, ME 04401-3979
(207) 907-1430
(207) 907-3508

Map and Direction




Provider's Profile

Full NameNicole Nelson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience10 Years
Location360 Broadway, Bangor, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Nelson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1639571227
  • Provider Enumeration Date: 09/25/2014
  • Last Update Date: 02/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113241886
  • Enrollment ID: I20180705002458

Medical Identifiers

Medical identifiers for Nicole Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639571227NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209.012256 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered RNA173045 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph HospitalBangor, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Joseph Hospital6406766336145

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Nelson allows following entities to bill medicare on her behalf.
Entity NameSt Joseph Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154321545
PECOS PAC ID: 6406766336
Enrollment ID: O20040604000895

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Nelson, CRNA
C/o St Marys Health System - Provider Enrollment, Po Box 7291,
Lewiston, ME 04243-7291

Ph: (207) 777-8560
Nicole Nelson, CRNA
360 Broadway,
Bangor, ME 04401-3979

Ph: (207) 907-1430

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Bangor, ME

Jaime Lee Naughton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Susan Lind, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Mrs. Elizabeth R Marshall, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Jesse Knowlton,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 360 Broadway, Bangor, ME 04401
Phone: 207-907-1430    Fax: 207-907-3508
Mr. Timothy F Gale, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Patricia L. Kennedy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-973-4519
Daniel S Groves, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.