Individual provider Active NPI

Jade Blodgett Mangiafico, CNM

  • Advanced Practice Midwife
  • Brunswick, ME
National Provider Identifier
1285346841
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM222013 Issued in ME
Practice address
121 Medical Center Dr Ste 2700
Brunswick, ME 04011-2669
Phone
(207) 721-8700
Fax
(207) 536-6719
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM222013 ME Primary

Addresses

Primary practice location

121 Medical Center Dr Ste 2700
Brunswick, ME 04011-2669

Mailing address

121 Medical Center Dr Ste 2700
Brunswick, ME 04011-2669
Phone (207) 721-8700

Other practice location 1

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201000870 ME Practitioner - Certified Nurse Midwife (CNM) 7618348574 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

12 High St
Suite 200
Lewiston, ME 04240-7689
Phone (207) 795-5770

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center Current Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Dec 13, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Dec 13, 2022 Accepting new patients
Rumford Hospital CurrentSince Dec 13, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Dec 13, 2022 Accepting new patients
Rumford Hospital CurrentSince Dec 13, 2022 Accepting new patients
Rumford Community Family Health Center, Inc. Current Accepting new patients

Locations

146 Weld St
Dixfield, ME 04224
Phone (207) 562-4226

12 High St
Lewiston, ME 04240
Phone (207) 795-5730

12 High St
Ste 301
Lewiston, ME 04240
Phone (207) 795-5730

12 High St
Ste 200
Lewiston, ME 04240
Phone (207) 795-5770

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

430 Franklin St
Rumford, ME 04276
Phone (207) 369-0146

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1285346841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MEDICAL CENTER DR STE 2700",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112669",
            "telephone_number": "207-721-8700",
            "fax_number": "207-536-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MEDICAL CENTER DR STE 2700",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112669",
            "telephone_number": "207-721-8700",
            "fax_number": "207-536-6719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Main St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407027",
            "country_code": "US",
            "telephone_number": "207-795-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGIAFICO",
        "first_name": "JADE",
        "middle_name": "BLODGETT",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ME",
            "license": "CNM222013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.