Active NPI
Abigail Blake Maynard, FNP
- Family Nurse Practitioner
- North Conway, NH
National Provider Identifier
1255619250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 115427-23
- Practice address
- 1976 White Mountain Hwy Ste 105
North Conway, NH 03860-5147 - Phone
- (603) 356-4940
- Fax
- (603) 371-3250
- NPI assigned
- Jul 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 115427-23 | NH | Primary |
| Family Nurse Practitioner | 363LF0000X | CNP111053 | ME |
Addresses
Primary practice location
1976 White Mountain Hwy Ste 105
North Conway, NH 03860-5147
Mailing address
167 Main St
Gorham, NH 03581-1637
Phone (603) 466-3500
Other practice location 1
167 Main St
Gorham, NH 03581-1637
Phone (603) 466-3500
Other practice location 2
2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-6900
Other practice location 3
1200 Williston Rd
South Burlington, VT 05403-5720
Phone (786) 351-7233
Other practice location 4
10 Goodall Dr Ste 900
East Waterboro, ME 04030-5233
Phone (207) 490-7505
Other practice location 5
25A June St Ste 11
Sanford, ME 04073-2642
Phone (207) 490-7900
Other practice location 6
655 Main St
Saco, ME 04072-1699
Phone (207) 294-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255619250 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Pleasant St
Berlin, NH 03570-2006
Phone (603) 752-2040
167 Main St
Suite 2
Gorham, NH 03581-1637
Phone (603) 466-3500
1976 White Mountain Hwy
Suite 105
North Conway, NH 03860-5147
Phone (603) 356-4940
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115427-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth New Hampshire Ambulatory Care | Current | Accepting new patients | |
| Clearchoicemd, PLLC | Current | Accepting new patients | |
| Clearchoicemd, PLLC | Current | Accepting new patients | |
| Clearchoicemd Primary Care PLLC | Past | Accepting new patients |
Locations
1976 White Mountain Hwy
Ste 105
North Conway, NH 03860
Phone (603) 356-4940
798 US Route 302
#2
Barre, VT 05641
Phone (802) 744-0138
1200 Williston Rd
South Burlington, VT 05403
Phone (802) 448-8205
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- North Conway, NH
- NPI 1356145148
-
- Federally Qualified Health Center (FQHC)
- Berlin, NH
- NPI 1346242054
-
- Urgent Care Clinic/Center
- Berlin, VT
- NPI 1851722417
-
- Urgent Care Clinic/Center
- Alton, NH
- NPI 1720705403
-
- Family Medicine Physician
- Saint Albans, VT
- NPI 1326582529
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Durable Medical Equipment & Medical Supplies
- Berlin, NH
- NPI 1235267451
Hospital
-
- Critical Access Hospital
- Berlin, NH
- NPI 1386680593
-
- Critical Access Hospital
- North Conway, NH
- NPI 1700864709
-
- Endocrinology, Diabetes & Metabolism Physician
- North Conway, NH
- NPI 1629060926
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1255619250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 MAIN ST",
"city": "GORHAM",
"state": "NH",
"postal_code": "035811637",
"telephone_number": "603-466-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1976 WHITE MOUNTAIN HWY STE 105",
"city": "NORTH CONWAY",
"state": "NH",
"postal_code": "038605147",
"telephone_number": "603-356-4940",
"fax_number": "603-371-3250"
}
],
"practiceLocations": [
{
"address_1": "167 Main St",
"address_purpose": "LOCATION",
"city": "Gorham",
"state": "NH",
"postal_code": "035811637",
"country_code": "US",
"telephone_number": "603-466-3500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Livewell Dr",
"address_purpose": "LOCATION",
"city": "Kennebunk",
"state": "ME",
"postal_code": "040436762",
"country_code": "US",
"telephone_number": "207-467-6900",
"fax_number": "207-467-6921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Williston Rd",
"address_purpose": "LOCATION",
"city": "South Burlington",
"state": "VT",
"postal_code": "054035720",
"country_code": "US",
"telephone_number": "786-351-7233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Goodall Dr Ste 900",
"address_purpose": "LOCATION",
"city": "East Waterboro",
"state": "ME",
"postal_code": "040305233",
"country_code": "US",
"telephone_number": "207-490-7505",
"fax_number": "207-490-7529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25A June St Ste 11",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "ME",
"postal_code": "040732642",
"country_code": "US",
"telephone_number": "207-490-7900",
"fax_number": "207-490-7969",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 Main St",
"address_purpose": "LOCATION",
"city": "Saco",
"state": "ME",
"postal_code": "040721699",
"country_code": "US",
"telephone_number": "207-294-5600",
"fax_number": "207-294-3565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYNARD",
"first_name": "ABIGAIL",
"middle_name": "BLAKE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "115427-23",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP111053",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255619250",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Conway, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.