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ABIGAIL WANNINGER
NPI 1053282400
Nurse Practitioner - Primary Care in Newport, ME

Active since September 17, 2025PECOS Enrolled
118 MOOSEHEAD TRL STE 5, NEWPORT, ME 04953(207) 368-5189 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Abigail Wanninger NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABIGAIL WANNINGER (NPI 1053282400) is an individual primary care provider in Newport, Maine, licensed in Maine (CNP251539) and active in the NPI registry since September 2025. The provider is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053282400
Entity TypeIndividual
Primary Taxonomy363LP2300X
Provider Legal NameABIGAIL WANNINGER
Location Address118 MOOSEHEAD TRL STE 5Newport, ME 04953-4056
Mailing Address118 Moosehead Trl Ste 5Newport, ME 04953-4056
Phone(207) 368-5189
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1053282400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in ME · CNP251539
118 MOOSEHEAD TRL STE 5, Newport, ME 04953
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail Wanninger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870070337
PECOS Enrollment IDI20260127001954
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Abigail Wanninger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sebasticook Family Doctors
Same address
Federally Qualified Health Center (FQHC)
118 MOOSEHEAD TRL, SUITE 5
Newport, ME 04953
  • Reassigned Medicare billing, Maine enrollment
  • 16 clinicians in this Medicare group
NPI 1063464634 (207) 368-4213

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Sebasticook Valley Hospital

Critical Access Hospitals · Pittsfield, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201313
Location447 North Main StreetPittsfield, ME 04967 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04953 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHARINE E BENNETT RN
Registered Nurse
118 MOOSEHEAD TRL STE 5
NEWPORT, ME 04953
Penobscot County (207) 368-5189
KAMI COSTA
Registered Nurse
118 MOOSEHEAD TRL STE 5
NEWPORT, ME 04953
Penobscot County (207) 368-5189
MR. KRAIG MICHAEL BURBINE RN
Registered Nurse (Case Management)
118 MOOSEHEAD TRL STE 5
NEWPORT, ME 04953
Penobscot County (207) 368-5189
ELIZABETH ASHLEY CARRIER RDH
Dental Hygienist
118 MOOSEHEAD TRL STE 5
NEWPORT, ME 04953
Penobscot County (207) 368-5189
DOROTHY A O'KEEFE
Nurse Practitioner (Adult Health)
118 MOOSEHEAD TRL STE 5
NEWPORT, ME 04953
Penobscot County (207) 368-5189
MR. JOHN ANTHONY TALBOT
Social Worker (Clinical)
118 MOOSEHEAD TRL STE 5
NEWPORT, ME 04953
Penobscot County (207) 368-5189
JENNIFER DENISE NEUFELD
Social Worker (Clinical)
118 MOOSEHEAD TRL STE 5
NEWPORT, ME 04953
Penobscot County (207) 368-5189
KERRY L DOW
Registered Nurse
118 MOOSEHEAD TRL STE 5
NEWPORT, ME 04953
Penobscot County (207) 368-5189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abigail Wanninger's NPI number?

The NPI number for Abigail Wanninger is 1053282400. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Abigail Wanninger located?

Abigail Wanninger practices at 118 Moosehead Trl Ste 5, Newport, ME 04953. The listed phone number is (207) 368-5189.

What is Abigail Wanninger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Abigail Wanninger enrolled in Medicare?

Yes. Abigail Wanninger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abigail Wanninger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abigail Wanninger reassigns Medicare benefits to Sebasticook Family Doctors (Newport, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abigail Wanninger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Abigail Wanninger affiliated with any hospitals?

According to CMS data, Abigail Wanninger is affiliated with Northern Light Eastern Maine Medical Center and Northern Light Sebasticook Valley Hospital.

When was this NPI record last updated?

The NPPES record for Abigail Wanninger was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.