NICHOLAS D PENNELL (FNP) – Family Nurse Practitioner, NPI 1053368993
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,869 NURSE PRACTITIONER in ME
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Provider Addresses for NICHOLAS D PENNELL (FNP)
1321, Washington Avenue, Lunts Corner, North Deering, Portland, Cumberland County, Maine, 04103, United States
301
PORTLAND, ME 041033636
Phone: (207) 780-6565
Fax: (207) 878-6565
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-03-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060323000405 | I | Nurse Practitioner | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 51 | 25 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 37 | 24 | $0 |
Insurance plans in this area (ZIP 04103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Nurse Practitioner | SC | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | WY | |
| Hospitalist, Internal Medicine | LA | |
| Nurse Practitioner | NJ | |
| Family Practice | FL | |
| Nurse Practitioner | TX |
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