Individual provider Active NPI

David Wabwile, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Derry, NH
National Provider Identifier
1861162604
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
081303-23 Issued in NH
Practice address
9 Sheldon Road
Derry, NH 03038
Phone
(612) 749-5225
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2282396 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 081303-23 NH Primary

Addresses

Primary practice location

9 Sheldon Road
Derry, NH 03038

Mailing address

9 Sheldon Rd
Derry, NH 03038-5744
Phone (612) 749-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220316002857 MA Practitioner - Nurse Practitioner 2668867300 Reassigns benefits to 1 organization
I20250408000259 NH Practitioner - Nurse Practitioner 2668867300 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2282396MAMDPsychiatric/Mental Health Nurse Practitioner
081303-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eliot Community Human Services CurrentSince Mar 3, 2022 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Dec 22, 2025 Accepting new patients
Eliot Community Human Services Current Accepting new patients
Serene Behavioral Healthcare, LLC CurrentSince Feb 11, 2026 Accepting new patients
State of New Hampshire Past Accepting new patients

Locations

10 Harbor St
Danvers, MA 01923
Phone (978) 406-4164

173 Chelsea St
Everett, MA 02149
Phone (617) 397-2020

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

1045 Elm St
Ste 204
Manchester, NH 03101
Phone (603) 851-3801

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Interoperability endpoints

  • Direct secure messaging: dwabwile3116261@direct.bsmhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1861162604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SHELDON RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030385744",
            "telephone_number": "612-749-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SHELDON ROAD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "612-749-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WABWILE",
        "first_name": "DAVID",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2282396",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "081303-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.