Active NPI
Chelsey Marie Gracia, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Bangor, ME
National Provider Identifier
1801201967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- DO3082
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO3082 | Other | ME | MAINE 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
Enrollment records 1
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
Practice addresses (Care Compare)
417 State St
Bangor, ME 04401-6630
Phone 20794182708270
Hospital & facility affiliations
- Northern Light Eastern Maine Medical Center
- St Joseph Hospital
- Northern Light Mercy Hospital
- Northern Light a R Gould Hospital
- Northern Light Maine Coast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.83 of 100
- Quality
- 82.8
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT016038 | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dahl Chase Pathology Associates, PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Dahl Chase Pathology Associates, PA | Anatomic Pathology & Clinical Pathology | Current | 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Bangor, ME
- NPI 1992726913
-
- Anatomic Pathology & Clinical Pathology Physician
- Bangor, ME
- NPI 1669870705
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
- General Acute Care Hospital
- Portland, ME
- NPI 1427313048
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
- General Acute Care Hospital
- Presque Isle, ME
- NPI 1396858999
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.