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ANNA NICOLE MININNI AGACNP
NPI 1548059983
Nurse Practitioner - Acute Care in Portland, ME

Active since May 02, 2025PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2414(207) 662-6038 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anna Nicole Mininni Agacnp NPPES

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

ANNA NICOLE MININNI AGACNP (NPI 1548059983) is an individual acute care provider in Portland, Maine, licensed in Maine (CNP251320) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1548059983
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameANNA NICOLE MININNICredential: AGACNP
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-2414 · Fax (207) 662-6038
Phone(207) 662-2414
Fax(207) 662-6038
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 2, 2025
Last NPPES UpdateJune 24, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1548059983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in ME · CNP251320
Also ListedRegistered NurseTaxonomy 163W00000X · License RN73534 (ME)
Also ListedNurse PractitionerTaxonomy 363L00000X · License CNP251320 (ME)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License CNP251320 (ME)
22 BRAMHALL ST, Portland, ME 04102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Nicole Mininni Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294241915
PECOS Enrollment IDI20250721001696
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

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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 20

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

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Anna Mininni's NPI number?

The NPI number for Anna Mininni is 1548059983. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Anna Mininni located?

Anna Mininni practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2414.

What is Anna Mininni's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Anna Mininni enrolled in Medicare?

Yes. Anna Mininni is registered in the Medicare PECOS enrollment system.

Is Anna Mininni affiliated with any hospitals?

According to CMS data, Anna Mininni is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Anna Mininni was last updated on June 24, 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.