CARLEY ANN FENNING (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1275415424

CARLEY ANN FENNING (AGACNP-BC) is a healthcare provider. based in Farmington, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. CNP251489 (ME). The NPI Number for CARLEY ANN FENNING (AGACNP-BC) is 1275415424

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
CARLEY ANN FENNING (AGACNP-BC)
NPI
1275415424
Phone
(207) 778-6031
Address
111 FRANKLIN HEALTH COMMONS
Enumeration Date
21 July 2025
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078859905
Graduation Year
2025 (1 year ago)
PAC ID
9931600848
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20250902001751
Address ID
ME041023134PO22XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,871 NURSE PRACTITIONER in ME

Provider Addresses for CARLEY ANN FENNING (AGACNP-BC)

  • 111 FRANKLIN HEALTH COMMONS

    FARMINGTON, ME 04938

    Phone: (207) 778-6031

    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: 2025-09-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250902001751INurse PractitionerMETBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04938)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517860588View full group profile

Reviews

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Frequently asked questions

What is the standard ID for CARLEY ANN FENNING (AGACNP-BC) in the U.S.?
In the U.S., CARLEY ANN FENNING (AGACNP-BC) is identified by NPI 1275415424.
Is CARLEY ANN FENNING (AGACNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists CARLEY ANN FENNING (AGACNP-BC) as active.
What services align with CARLEY ANN FENNING (AGACNP-BC)'s listing?
CARLEY ANN FENNING (AGACNP-BC)'s public classification highlights Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CARLEY ANN FENNING (AGACNP-BC) tied to Farmington, Maine?
If you are local to Farmington, Maine, CARLEY ANN FENNING (AGACNP-BC) may be relevant to your search.
Who maintains CARLEY ANN FENNING (AGACNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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