Individual provider Active NPI

Matthew E Nilsson, MD

  • Child & Adolescent Psychiatry Physician
  • Portland, ME
National Provider Identifier
1881048502
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD24084 Issued in ME
Practice address
37 Andover Rd
Portland, ME 04102-1936
Phone
(207) 661-3600
Fax
(207) 761-0783
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD24084 ME
Child & Adolescent Psychiatry Physician 2084P0804X MD24084 ME Primary

Addresses

Primary practice location

37 Andover Rd
Portland, ME 04102-1936

Mailing address

37 Andover Rd
Portland, ME 04102-1936
Phone (207) 661-3600

Other practice location 1

66 Bramhall St
Portland, ME 04102-3344
Phone (207) 662-2160

Other practice location 2

22 Bramhall St
Portland, ME 04102-3134
Phone (781) 526-1317

Other practice location 3

123 Andover Rd
Westbrook, ME 04092-3848
Phone (207) 761-2200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819001123 ME Practitioner - Psychiatry 5597044461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tufts University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

37 Andover Rd
Portland, ME 04102-1936
Phone (207) 661-3600

66 Bramhall St
FL 1
Portland, ME 04102-3355
Phone (207) 662-3157

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD24084MEMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 31, 2021 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Aug 31, 2021 Accepting new patients

Locations

66 Bramhall St
Portland, ME 04102
Phone (207) 662-3157

37 Andover Rd
Portland, ME 04102
Phone (207) 661-3600

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

123 Andover Rd
Westbrook, ME 04092
Phone (207) 761-2200

Interoperability endpoints

  • Direct secure messaging: mnilsson140169@direct.mmc.mainehealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1881048502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ANDOVER RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021936",
            "telephone_number": "207-661-3600",
            "fax_number": "207-761-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 ANDOVER RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021936",
            "telephone_number": "207-661-3600",
            "fax_number": "207-761-0783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023344",
            "country_code": "US",
            "telephone_number": "207-662-2160",
            "fax_number": "207-662-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "781-526-1317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Andover Rd",
            "address_purpose": "LOCATION",
            "city": "Westbrook",
            "state": "ME",
            "postal_code": "040923848",
            "country_code": "US",
            "telephone_number": "207-761-2200",
            "fax_number": "207-761-2108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD24084",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "ME",
            "license": "MD24084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.