Nicholas Coburn-Pierce, PA-C
Individual provider Active NPI Physician Assistant · Rockport, ME
NPI 1548827199 · NPPES record last updated Jun 8, 2026
Key facts
- NPI
- 1548827199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2894 (ME)
- Practice address
- 15 Anchor Dr Ste 202
Rockport, ME 04856-3848 - Phone
- (847) 341-0530
- NPI assigned
- May 20, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Key Corporation
Mainehealth
Practice addresses (Care Compare)
1394 Jackson St
Saint Paul, MN 55117-4630
Phone (612) 315-5866
15 Anchor Dr
Rockport, ME 04856-3848
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
Hospital & facility affiliations
- Mainehealth Pen Bay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.86
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251015003857 | ME | Practitioner - Physician Assistant | 5890024723 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13092 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Past |
Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
15 Anchor Dr
Ste 202
Rockport, ME 04856
Phone (207) 301-3640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2894 | ME | Yes |
Addresses
Primary practice location
15 Anchor Dr Ste 202
Rockport, ME 04856-3848
Mailing address
15 Anchor Dr Ste 202
Rockport, ME 04856-3848
Phone (847) 341-0530
Other providers in Rockport, ME
- Richard C Chandler
- Cheryl Chase
- Coastal Dental Hygiene Studio
- Coastal Maine Internal Medicine, PC
- Mikaela Abigail Coburn-Pierce
- Sarah M Coburn
- Anne E. Cogger
- Kathryn Donovan Cohen
- Douglas Stuart Cole
- Angela C Coleman
All providers in Rockport, ME · Physician Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.