1. Home
  2. Directory
  3. Maine
  4. Portland
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS D PENNELL FNP
NPI 1053368993
Nurse Practitioner - Family in Portland, ME

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
1321 WASHINGTON AVE, 301, PORTLAND, ME 04103(207) 780-6565(207) 878-6565 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicholas D Pennell Fnp NPPES

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

NICHOLAS D PENNELL FNP (NPI 1053368993) is an individual family provider in Portland, Maine, licensed in Maine (CNP81741) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1053368993
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLAS D PENNELLCredential: FNP
Location Address1321 WASHINGTON AVE, 301Portland, ME 04103-3636
Mailing Address1321 Washington Ave, 301Portland, ME 04103-3636 · (207) 780-6565 · Fax (207) 878-6565
Phone(207) 780-6565
Fax(207) 878-6565
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 27, 2006
Last NPPES UpdateSeptember 30, 2026
NPPES CertifiedSeptember 30, 2026
✔ NPI 1053368993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP81741
1321 WASHINGTON AVE, Portland, ME 04103
Open in Google Maps ↗

Other Identifiers 2

Medicaid433046299ME
Medicaid30347108NH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas D Pennell Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486662004
PECOS Enrollment IDI20060323000405
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 Reassignments

4

Medicare enrollment records show Nicholas Pennell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Impact Health Me, LLC
7.8 mi
Nurse Practitioner
370 PORTLAND ST
Yarmouth, ME 04096
  • Reassigned Medicare billing, Maine enrollment
  • 33 clinicians in this Medicare group
NPI 1518432574 (516) 705-4805
Vantage Healthcare Inc
45 mi
Internal Medicine
9 LEWIS RD
Kittery, ME 03904
  • Reassigned Medicare billing, Maine enrollment
  • 8 clinicians in this Medicare group
NPI 1386474625 (781) 867-2050
Infinite Medical PC
148 mi
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, Maine enrollment
  • 9 clinicians in this Medicare group
NPI 1407483175 (718) 964-6161
Tapestry Telehealth PLLC
724 mi
Geriatric Medicine
230 CHERRY ST
Chillicothe, OH 45601
  • Reassigned Medicare billing, Maine enrollment
  • 13 clinicians in this Medicare group
NPI 1992215446 (203) 666-8145

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
926 services121 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
334 services135 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
105 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 14

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

PAULA CURRAN LCSW
Social Worker (Clinical)
1321 WASHINGTON AVE, SUITE 304
PORTLAND, ME 04103
Cumberland County (207) 541-9364
YVONNE L. DECORY M.D., P.A.
Psychiatry & Neurology (Psychiatry)
1321 WASHINGTON AVE, SUITE 304
PORTLAND, ME 04103
Cumberland County (207) 541-9354
LAUREN HERDRICH MA, LPC
Counselor (Professional)
1321 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 274-1920
KATHY DAHMS FNP
Nurse Practitioner (Family)
1321 WASHINGTON AVE, SUITE 310
PORTLAND, ME 04103
Cumberland County (207) 780-6565
JENNIFER A BLANCHETTE PSYD
Psychologist (Clinical)
1321 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 749-2343
KAREN HEROUX LCSW
Social Worker (Clinical)
1321 WASHINGTON AVE, SUITE 106
PORTLAND, ME 04103
Cumberland County (888) 806-8801
DIALECTICAL AND COGNITIVE BEHAVIORAL THERAPY OF NH, PLLC
Community/Behavioral Health
1321 WASHINGTON AVE, SUITE 304
PORTLAND, ME 04103
Cumberland County (323) 723-2864
KRISTEN MICKKELSEN PMHNP BC LLC
Nurse Practitioner (Psychiatric/Mental Health)
1321 WASHINGTON AVE, SUITE 304
PORTLAND, ME 04103
Cumberland County (207) 536-3088

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 Nicholas Pennell's NPI number?

The NPI number for Nicholas Pennell is 1053368993. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Nicholas Pennell located?

Nicholas Pennell practices at 1321 Washington Ave 301, Portland, ME 04103. The listed phone number is (207) 780-6565.

What is Nicholas Pennell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicholas Pennell enrolled in Medicare?

Yes. Nicholas Pennell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicholas Pennell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Pennell reassigns Medicare benefits to 4 organizations: Impact Health Me, LLC (Yarmouth, ME), Vantage Healthcare Inc (Kittery, ME), Infinite Medical PC (Bristol, RI) and Tapestry Telehealth PLLC (Chillicothe, OH). Each 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 Nicholas Pennell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Pennell was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.