Individual provider Active NPI

Chelsey Marie Gracia, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bangor, ME
National Provider Identifier
1801201967
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
DO3082 Issued in ME
Practice address
417 State St Ste 439
Bangor, ME 04401-6635
Phone
(072) 941-8200
Fax
(207) 947-4061
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X OT016038 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X DO3082 ME Primary

Addresses

Primary practice location

417 State St Ste 439
Bangor, ME 04401-6635

Mailing address

417 State St Ste 439
Bangor, ME 04401-6635
Phone (072) 941-8200

Other identifiers 1

IdentifierTypeStateIssuer
DO3082OtherMEMAINE BOARD OF OSTEOPATHIC LICENSURE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201130002174 ME Practitioner - Pathology 7618388497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dahl Chase Pathology Associates PAGroup PAC ID 8820995947, 15 clinicians

Practice addresses (Care Compare)

417 State St
Bangor, ME 04401-6630
Phone 20794182708270

Hospital & facility affiliations

  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001
  • Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008
  • Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as group
Quality
82.8
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT016038PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dahl Chase Pathology Associates, PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
Dahl Chase Pathology Associates, PA Anatomic Pathology & Clinical Pathology CurrentSince Aug 6, 2020 Accepting new patients

Locations

417 State St
Ste 439
Bangor, ME 04401
Phone (207) 941-8270

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 6

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1801201967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 STATE ST STE 439",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016635",
            "telephone_number": "072-941-8200",
            "fax_number": "207-947-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STATE ST STE 439",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016635",
            "telephone_number": "072-941-8200",
            "fax_number": "207-947-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "CHELSEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "OT016038",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ME",
            "license": "DO3082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE BOARD OF OSTEOPATHIC LICENSURE",
            "identifier": "DO3082",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.