NPPES file of Aug 9, 2026

Valerie Nye, PA-C

Surgical Physician Assistant · Portland, ME

Valerie Nye, PA-C is a surgical physician assistant with a practice address in Portland, Maine, and NPI 1356794101, issued on Jul 18, 2016. Check the license (Maine PA1630, as entered in NPPES) with the Maine board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1356794101
Name
Valerie Nye
Credential
PA-C
Primary taxonomy
Surgical Physician Assistant 363AS0400X
License number
PA1630 ME
Self-reported in NPPES; status is on the state search
Practice location
195 Fore River Pkwy, Portland, ME 04102
Phone
(207) 553-6800
Enumerated
Jul 18, 2016
Record last updated
Jan 2, 2026
Medicare enrollment
Enrolled (PECOS I20161102002127); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 195 Fore River Pkwy

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ali Abbasian Hersini, MDOrthopaedic Foot and Ankle Surgery Physician1740559236
  2. Meilin BrodeurSocial Worker1174474001
  3. Ivan Cardona, MDAllergy & Immunology Physician1215038088
  4. Barbara Chilmonczyk, M.D.Specialist1497793210
  5. Holly Christensen, CNMAdvanced Practice Midwife1184669392
  6. Karin Cole, M.D.Surgical Oncology Physician1740444769

Verify Valerie Nye in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Maine board licenses this profession
    Search for license PA1630
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Maine license search

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67% fewer Medicare Part D claims than the average surgical physician assistant in 2024

101 Medicare Part D claims for 71 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D. 41 claims were for opioids.

  1. Valerie Nye101
  2. Specialty average304

Most prescribed

  1. Oxycodone Hcl40 claims
  2. Amoxicillin-Clavulanate Potass21 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 84 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score60.7
  2. Costout of 100 · 30%70.8
  3. Promoting interoperabilityout of 100 · 25%98.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Mercy HospitalPortland, ME

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Valerie Nye among 205 surgical physician assistant records in Maine

Valerie Nye, PA-C is one of 205 surgical physician assistant records with a practice address in Maine. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 61% of them.

  • NPI issued2016 · 61% of these records are older, 34% newer
  • In a Medicare fileYes · 91% of these records are
  • In the CMS Doctors and Clinicians fileYes · 83% of these records are
  • Graduated2016 · median 2013 among the 170 with a school on file
  • Record last updated2026 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Maine practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

67 surgical physician assistant records list a practice address in Portland

They are 67 of the 6,022 NPPES records with a practice address in Portland, and 205 surgical physician assistant records in Maine.

The 8 surgical physician assistant records with the nearest ZIP codes

  1. Lawrence Adrian, P.A.-CPortland, ME 041021891707493
  2. Scott Benevides, PA-CPortland, ME 041021548256035
  3. Peter Donovan, PA-CPortland, ME 041021366549438
  4. Denise Emple, PA-CPortland, ME 041021437145067
  5. Jeffery Fox, P.A.Portland, ME 041021396707873
  6. Matthew Guilbeault, PA-CPortland, ME 041021306956974
  7. Brian Halla, PA-CPortland, ME 041021528053931
  8. Nathan Haynes, PA-CPortland, ME 041021598755258

Common questions

What is Valerie Nye, PA-C's NPI number?

Valerie Nye, PA-C's National Provider Identifier (NPI) is 1356794101, issued on Jul 18, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Valerie Nye, PA-C located?

The NPPES record lists a practice address at 195 Fore River Pkwy, Portland, ME, 04102. Phone: (207) 553-6800. Providers update this record themselves, so call before visiting.

How can I verify Valerie Nye, PA-C's license?

NPPES lists Maine license number PA1630, as entered by the provider. Search the Maine board that licenses this profession; the NPPES record confirms identity only.

How much does Valerie Nye, PA-C prescribe under Medicare Part D?

In 2024, Valerie Nye, PA-C had 101 Medicare Part D claims for 71 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.

What is Valerie Nye, PA-C's MIPS final score?

The 2023 MIPS final score is 84 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.