Individual provider Active NPI

Roanna Lane Gillis, CNP

  • Family Nurse Practitioner
  • Damariscotta, ME
National Provider Identifier
1659245140
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP251822 Issued in ME
Practice address
24 Miles Center Way
Damariscotta, ME 04543-4067
Phone
(207) 563-4250
Fax
(207) 810-4977
NPI assigned
Sep 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 CNP251822 ME Primary

Addresses

Primary practice location

24 Miles Center Way
Damariscotta, ME 04543-4067

Mailing address

24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4250

Other practice location 1

126 Depot St
Waldoboro, ME 04572-5913
Phone (207) 832-6394

Other practice location 2

49 Hooper St
Wiscasset, ME 04578-4053
Phone (207) 882-7911

Other practice location 3

19 Saint Andrews Ln
Boothbay Harbor, ME 04538-1732
Phone (207) 633-7820

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
I20260223001531 ME Practitioner - Nurse Practitioner 6204317852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

24 Miles Ctr Way
Maine Behavioral Healthcare
Damariscotta, ME 04543-4067
Phone (844) 292-0111

5 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (207) 563-3782

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP251822MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Mar 30, 2026 Accepting new patients
Mainehealth Family CurrentSince Mar 30, 2026 Accepting new patients
Mainehealth CurrentSince Mar 30, 2026 Accepting new patients

Locations

19 Saint Andrews Ln
Boothbay Hbr, ME 04538
Phone (207) 633-7820

24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250

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

49 Hooper St
Wiscasset, ME 04578
Phone (207) 882-7600

Organizations & group practices 4

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.

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": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1659245140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4250",
            "fax_number": "207-810-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MILES CENTER WAY",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434067",
            "telephone_number": "207-563-4250",
            "fax_number": "207-810-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Depot St",
            "address_purpose": "LOCATION",
            "city": "Waldoboro",
            "state": "ME",
            "postal_code": "045725913",
            "country_code": "US",
            "telephone_number": "207-832-6394",
            "fax_number": "207-536-5162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Hooper St",
            "address_purpose": "LOCATION",
            "city": "Wiscasset",
            "state": "ME",
            "postal_code": "045784053",
            "country_code": "US",
            "telephone_number": "207-882-7911",
            "fax_number": "207-882-6178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Saint Andrews Ln",
            "address_purpose": "LOCATION",
            "city": "Boothbay Harbor",
            "state": "ME",
            "postal_code": "045381732",
            "country_code": "US",
            "telephone_number": "207-633-7820",
            "fax_number": "207-810-4966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "ROANNA",
        "middle_name": "LANE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-30",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP251822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

Verify at the official NPI Registry.