Individual provider Active NPI

Finn Wilder, FNP-BC

  • Family Nurse Practitioner
  • Bangor, ME
National Provider Identifier
1396412649
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP211374 Issued in ME
Practice address
700 Mount Hope Ave Ste 420
Bangor, ME 04401-5678
Phone
(207) 947-5337
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP211374 ME Primary

Addresses

Primary practice location

700 Mount Hope Ave Ste 420
Bangor, ME 04401-5678

Mailing address

700 Mount Hope Ave Ste 420
Bangor, ME 04401-5678
Phone (207) 947-5337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212001861 ME Practitioner - Nurse Practitioner 9537502067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Planning Association of Maine IncGroup PAC ID 6800037581, 13 clinicians

Practice addresses (Care Compare)

147 Waldo Ave
Belfast, ME 04915-6922
Phone (207) 922-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP211374MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Planning Association of Maine Inc CurrentSince Dec 31, 2023 Accepting new patients
Mabel Wadsworth Women'S Health Center CurrentSince Aug 29, 2021 Accepting new patients
Family Planning Association of Maine Inc CurrentSince Dec 31, 2023 Accepting new patients

Locations

43 Gabriel Dr
Augusta, ME 04330
Phone (207) 248-3927

700 Mount Hope Ave
Ste 420
Bangor, ME 04401
Phone (207) 947-4970

147 Waldo Ave
Belfast, ME 04915
Phone (207) 338-3736

Interoperability endpoints

  • Direct secure messaging: finn.wilder.1@3508.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1396412649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 420",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015678",
            "telephone_number": "207-947-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 420",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015678",
            "telephone_number": "207-947-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "FINN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP211374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.