Individual provider Active NPI

Olivia Paige Barksdale, PA-C

  • Medical Physician Assistant
  • Bangor, ME
National Provider Identifier
1740152115
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2953 Issued in ME
Practice address
885 Union St Ste 145
Bangor, ME 04401-3073
Phone
(207) 973-9595
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical Center 659 clinicians

Practice addresses (Care Compare)

885 Union St
Suite 145
Bangor, ME 04401-3073
Phone (207) 973-9595

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127001163 ME Practitioner - Physician Assistant 2769969286 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110011349VAMDPhysician Assistant
PA2953MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Jan 19, 2026 Accepting new patients
Eastern Maine Medical Center CurrentSince Jan 19, 2026 Accepting new patients

Locations

885 Union St
Ste 145
Bangor, ME 04401
Phone (207) 945-4474

489 State St
Bangor, ME 04401
Phone (207) 973-8837

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2953 ME Primary
Physician Assistant 363A00000X 0110011349 VA

Addresses

NPPES NPI Registry

Primary practice location

885 Union St Ste 145
Bangor, ME 04401-3073

Mailing address

885 Union St Ste 145
Bangor, ME 04401-3073
Phone (207) 973-9595

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2025.

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1740152115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 UNION ST STE 145",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013073",
            "telephone_number": "207-973-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 UNION ST STE 145",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013073",
            "telephone_number": "207-973-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKSDALE",
        "first_name": "OLIVIA",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA2953",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.