Anna Nicole Mininni, AGACNP
Nurse Practitioner, Acute Care in Portland, ME. Individual provider (NPI-1).
NPI number1548059983
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1548059983
- Entity type
- Individual (NPI-1)
- Name
- Anna Nicole Mininni
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2025
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | CNP251320 | ME | Yes |
| 163W00000X | Registered Nurse | RN73534 | ME | |
| 363L00000X | Nurse Practitioner | CNP251320 | ME | |
| 363LG0600X | Nurse Practitioner, Gerontology | CNP251320 | ME |
Practice location
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-2414 · Fax 207-662-6038
Mailing address
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-2414 · Fax 207-662-6038
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 66 Acute Care Nurse Practitioner providers in Portland · All 7,184 providers in Portland
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