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

Nicholas D Pennell, FNP

Individual provider Family Nurse Practitioner · NPI 1053368993

Nicholas D Pennell, FNP is a Nurse Practitioner in Portland, Maine. Qualified in 2005, 21 years ago. Practices with Tapestry Telehealth PLLC, a 78-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
21
Licensed in
ME
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1321 Washington Ave 301
Portland, ME 04103-3636
Phone: (207) 780-6565
Fax: (207) 878-6565
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R049269 (ME)

Record details

NPI number1053368993
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESJuly 25, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Tapestry Telehealth Pllc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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