Individual provider Active NPI

Jade Lauren Mansolilli

  • Family Nurse Practitioner
  • Ellsworth, ME
National Provider Identifier
1821979626
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP251510 Issued in ME
Practice address
37 Commerce Park
Ellsworth, ME 04605-3383
Phone
(207) 667-5064
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 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 CNP251510 ME Primary

Addresses

Primary practice location

37 Commerce Park
Ellsworth, ME 04605-3383

Mailing address

37 Commerce Park
Ellsworth, ME 04605-3383
Phone (207) 667-5064

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
I20251010000989 ME Practitioner - Nurse Practitioner 1355848730 Reassigns benefits to 1 organization

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
Bucksport Regional Health CenterGroup PAC ID 9638135858, 30 clinicians

Practice addresses (Care Compare)

37 Commerce Park
Ellsworth, ME 04605-3383
Phone (207) 667-5064

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP251510MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bucksport Regional Health Center CurrentSince Sep 3, 2025 Accepting new patients
Bucksport Regional Health Center CurrentSince Sep 3, 2025 Accepting new patients

Locations

110 Broadway
Bucksport, ME 04416
Phone (207) 469-7371

37 Commerce Park
Ellsworth, ME 04605
Phone (207) 667-2422

Organizations & group practices 2

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": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1821979626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COMMERCE PARK",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053383",
            "telephone_number": "207-667-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 COMMERCE PARK",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053383",
            "telephone_number": "207-667-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOLILLI",
        "first_name": "JADE",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP251510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

Verify at the official NPI Registry.