Individual provider Active NPI

Monica Tartisio Gambi Lado, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Portland, ME
National Provider Identifier
1255065165
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP221287 Issued in ME
Practice address
211 Marginal Way
Portland, ME 04101-2467
Phone
(207) 544-9355
Fax
(207) 544-7756
NPI assigned
Jul 15, 2022
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 CNP221287 ME Primary

Addresses

Primary practice location

211 Marginal Way
Portland, ME 04101-2467

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Other practice location 1

24 Gardiner St
Richmond, ME 04357-1336
Phone (207) 737-4359

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
I20221206001417 ME Practitioner - Nurse Practitioner 0648649194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

24 Gardiner St
Richmond, ME 04357-1336
Phone (207) 737-4359

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthreach Community Health Centers CurrentSince Dec 29, 2023 Accepting new patients
Healthreach Community Health Centers CurrentSince Dec 29, 2023 Accepting new patients
Healthreach Community Health Centers Past Accepting new patients

Locations

4 Clement Way
Belgrade, ME 04917
Phone (207) 660-9924

24 Gardiner St
Richmond, ME 04357
Phone (207) 727-4359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1255065165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MARGINAL WAY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012467",
            "telephone_number": "207-544-9355",
            "fax_number": "207-544-7756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Gardiner St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "ME",
            "postal_code": "043571336",
            "country_code": "US",
            "telephone_number": "207-737-4359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBI LADO",
        "first_name": "MONICA",
        "middle_name": "TARTISIO",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP221287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.