Active NPI
Christopher L Nelson, PAC
- Physician Assistant
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA691
- Practice address
- 360 Broadway
Bangor, ME 04401-3979 - Phone
- (207) 907-1770
- Fax
- (207) 907-3675
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medicare Defined Swing Bed Hospital Unit
- Machias, ME
- NPI 1336587542
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Pediatrics Physician
- Falmouth, ME
- NPI 1629382601
-
- Critical Access Hospital
- Blue Hill, ME
- NPI 1023057809
-
- Multi-Specialty Clinic/Center
- Ashland, WI
- NPI 1215974357
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040928000651 | ME | Practitioner - Physician Assistant | 1456320365 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1597 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Down East Community Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Past | Accepting new patients | |
| The Blue Hill Memorial Hospital | Past | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
489 State St
Bangor, ME 04401
Phone (207) 973-8837
116 Northport Ave
Ste 210
Belfast, ME 04915
Phone (207) 338-1838
11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA691 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
360 Broadway
Bangor, ME 04401-3979
Mailing address
C/O St Marys Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8941
Other practice location 1
116 Northport Ave Ste 210
Belfast, ME 04915-6096
Phone (207) 505-4675
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA691 | Other | ME | STATE LICENSE |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cnelson1510570@direct-prd.goodhelpconnections.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2025.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1477596880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT",
"address_2": "PO BOX 7291",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042437291",
"telephone_number": "207-777-8941",
"fax_number": "207-777-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 BROADWAY",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013979",
"telephone_number": "207-907-1770",
"fax_number": "207-907-3675"
}
],
"practiceLocations": [
{
"address_1": "116 Northport Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Belfast",
"state": "ME",
"postal_code": "049156096",
"country_code": "US",
"telephone_number": "207-505-4675",
"fax_number": "207-338-3836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "CHRISTOPHER",
"middle_name": "L",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA691",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cnelson1510570@direct-prd.goodhelpconnections.org",
"affiliation": "N",
"address_1": "360 Broadway",
"city": "Bangor",
"state": "ME",
"country_code": "US",
"postal_code": "044013979",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.