Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abigail Wanninger

Individual provider Primary Care Nurse Practitioner · NPI 1053282400

Abigail Wanninger is a Nurse Practitioner in Newport, Maine. Qualified in 2025, 1 year ago. Licensed in Maine.

Years since qualifying
1
Licensed in
ME
In the registry since
2025

Practice location Address checks out

118 Moosehead Trl Ste 5
Newport, ME 04953-4056
Phone: (207) 368-5189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence CNP251539 (ME)

Record details

NPI number1053282400
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address118 Moosehead Trl Ste 5, Newport, ME 04953-4056

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Newport