Abigail Kasper-Ahearn, RN
Individual provider Active NPI Registered Nurse · Port Austin, MI
NPI 1619865342 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1619865342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704364183 (MI)
- Practice address
- 2565 Weaver Rd
Port Austin, MI 48467-9774 - Phone
- (989) 550-8416
- NPI assigned
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704364183 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704364183 | MI | Yes |
Addresses
Primary practice location
2565 Weaver Rd
Port Austin, MI 48467-9774
Mailing address
2565 Weaver Rd
Port Austin, MI 48467-9774
Other providers in Port Austin, MI
- Carl R Reichelt
- Charles Christensen
- DRC Cloud Care PLLC
- Heather McDermott PSYD PLLC
- Martha E Koglin
- Lakeview Professional Counseling, PLLC.
- Charles Mantey
- McLaren Thumb Region
- Marcella Mosey
All providers in Port Austin, MI · Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.