Individual provider Active NPI

Gina Nicole Dasilva

  • Nurse Practitioner
  • Portland, ME
National Provider Identifier
1174039325
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN55472 Issued in ME
Practice address
61 Stuart St
Portland, ME 04103-1309
Phone
(207) 774-5939
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN55472 ME Primary

Addresses

Primary practice location

61 Stuart St
Portland, ME 04103-1309

Mailing address

61 Stuart St
Portland, ME 04103-1309
Phone (207) 766-6354

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
I20190409003088 ME Practitioner - Nurse Practitioner 5799026233 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN55472MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Mar 11, 2019 Accepting new patients
Maine Medical Partners CurrentSince Mar 11, 2019 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Feb 18, 2022 Accepting new patients
Maine Medical Partners Current Accepting new patients
Maine Medical Partners CurrentSince Mar 11, 2019 Accepting new patients
Maine Medical Partners Current Accepting new patients
Mainehealth CurrentSince Mar 11, 2019 Accepting new patients

Locations

272 Congress St
Portland, ME 04101
Phone (207) 874-2466

6 City Ctr
Portland, ME 04101

5 Bucknam Rd
Ste 2B
Portland, ME 04105
Phone (207) 781-1600

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

5 Bucknam Rd
Ste 2C
Portland, ME 04105
Phone (207) 781-1500

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

1 Harnois Ave
Ste 1A
Westbrook, ME 04092
Phone (207) 662-1360

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1174039325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 STUART ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031309",
            "telephone_number": "207-766-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 STUART ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031309",
            "telephone_number": "207-774-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "GINA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "RN55472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.