Lillian R Mandl, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

MM3521742 Issued in ME

Practice address

Maine Comprehensive Pain Management, P.C.
400 Enterprise Drive, Suite 1
Scarborough, ME 04074-7663

Phone

(207) 289-6726

Fax

(207) 289-1219

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18448/brand/1/csg/1/fhir/r4
• Direct secure messaging: vrhlmandl@yourcarecommunity.org
• Direct secure messaging: lillian.mandl@direct.smhc.mainehealth.org

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.

• Maine Comprehensive Pain Management, PC

  • Medical Specialty Clinic/Center
  • Scarborough, ME
  • NPI 1467928705
  Medicare reassignment NPD
• Mainehealth

  • General Acute Care Hospital
  • Biddeford, ME
  • NPI 1659392819
  Medicare reassignment NPD
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  Medicare reassignment NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  ME

  Medicare reassignment NPD
• Mainehealth

  • Skilled Nursing Facility
  • Sanford, ME
  • NPI 1447342209
  NPD
• Mercy Hospital

  • Rural Health Clinic/Center
  • Windham, ME
  • NPI 1396496378
  NPD
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1427313048
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1962437152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAINE COMPREHENSIVE PAIN MANAGEMENT, P.C.",
            "address_2": "400 ENTERPRISE DRIVE, SUITE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747663",
            "telephone_number": "207-289-6726",
            "fax_number": "207-289-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAINE COMPREHENSIVE PAIN MANAGEMENT, P.C.",
            "address_2": "400 ENTERPRISE DRIVE, SUITE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747663",
            "telephone_number": "207-289-6726",
            "fax_number": "207-289-1219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Northern Light Health Homecare and Hospice",
            "address_2": "155 Fore River Pkwy",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "04102",
            "country_code": "US",
            "telephone_number": "207-879-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDL",
        "first_name": "LILLIAN",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-06-13",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "03067523",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "MM3521742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301090099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30341057",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mainehealth
• Mainehealth
• Jennifer K Major, DPT
• Micah Gordon Malenfant, DNP, PMHNP-BC, RN
• Jordan Malenke, MD
• Jeffrey M Maneval, MD
• Samara Manges
• Katharine Anne Manning, MD
• Michael John Manning, R.PH.
• Lindsey Mannion

• Nurse Practitioner in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.