Active NPI
Paul Rollins Roberts, PA-C
- Physician Assistant
- Bangor, ME
National Provider Identifier
1902866841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-15294
- Practice address
- 885 Union St
Suite 215
Bangor, ME 04401 - Phone
- (207) 973-7380
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-15294 | NC | Primary |
| Physician Assistant | 363A00000X | 020821 | NY | |
| Physician Assistant | 363A00000X | PA1122 | ME |
Addresses
Primary practice location
885 Union St
Suite 215
Bangor, ME 04401
Mailing address
1256 Carmel Rd North
Suite 215
Hampden, ME 04444
Phone (207) 973-7380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Phone (337) 991-9276
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1122 | ME | MD | Physician Assistant |
| 0010-15294 | NC | MD | Physician Assistant |
| 020821 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Desert Island Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
-
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Raleigh, NC
- NPI 1285876250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1902866841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 CARMEL RD NORTH",
"address_2": "SUITE 215",
"city": "HAMPDEN",
"state": "ME",
"postal_code": "04444",
"telephone_number": "207-973-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 UNION ST",
"address_2": "SUITE 215",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-973-7380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "PAUL",
"middle_name": "ROLLINS",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-15294",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "020821",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA1122",
"primary": false
}
],
"identifiers": [],
"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 Sep 8, 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.