ABIGAIL WIRTHLIN FNP
NPI 1114812666
Nurse Practitioner - Family in Prineville, OR

Q: What is Abigail Wirthlin's NPI number?

The NPI number for Abigail Wirthlin is 1114812666. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Q: What is Abigail Wirthlin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abigail Wirthlin was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 12, 2025PECOS EnrolledAccepts Medicare Assignment

375 NW BEAVER ST STE 101, PRINEVILLE, OR 97754(541) 383-3005 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Jun 23, 2025, Jun 12, 2025 (3 updates tracked since 2025).

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About Abigail Wirthlin Fnp NPPES

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

ABIGAIL WIRTHLIN FNP (NPI 1114812666) is an individual family provider in Prineville, Oregon, licensed in Oregon (10045649) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114812666

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameABIGAIL WIRTHLINCredential: FNP

Location Address375 NW BEAVER ST STE 101Prineville, OR 97754-1802

Mailing AddressPo Box 4228Portland, OR 97208-4228 · (541) 383-3005 · Fax (541) 383-1883

Phone(541) 383-3005

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 12, 2025

Last NPPES UpdateNovember 20, 20253 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1114812666 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 OR · 10045649

375 NW BEAVER ST STE 101, Prineville, OR 97754

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abigail Wirthlin 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 ID3173037165

PECOS Enrollment IDI20250710002018

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.

Hospital Affiliations CMS Care Compare 2

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380047

Location2500 NE Neff RoadBend, OR 97701 · Deschutes County

Emergency services Birthing friendly

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381313

Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97754 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 15

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

SUZANNE M JONES FNP

Nurse Practitioner