CAROL J MANSFIELD MD
NPI 1831165422
Pediatrics in Winthrop, ME
About Carol J Mansfield Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL J MANSFIELD MD (NPI 1831165422) is an individual pediatrics provider in Winthrop, Maine, licensed in Maine (014349) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carol J Mansfield Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carol Mansfield reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Augusta, ME 04330
- Reassigned Medicare billing, Maine enrollment
- 978 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04364 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINTHROP, ME 04364
WINTHROP, ME 04364
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carol Mansfield's NPI number?
The NPI number for Carol Mansfield is 1831165422. It was assigned to this individual provider in the NPPES registry on February 24, 2006.
Where is Carol Mansfield located?
Carol Mansfield practices at 149 Main St Ste 1A, Winthrop, ME 04364. The listed phone number is (207) 377-2114.
What is Carol Mansfield's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Carol Mansfield enrolled in Medicare?
Yes. Carol Mansfield is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carol Mansfield's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Mansfield reassigns Medicare benefits to Mainegeneral Medical Center (Augusta, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Mansfield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Mansfield accept?
Health plans from Anthem Blue Cross and Blue Shield list Carol Mansfield as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carol Mansfield was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carol J Mansfield, MD · NPI 1831165422
Pediatrics physician in Winthrop, Maine. Individual provider, active in the CMS NPPES registry since February 24, 2006.
## Identity
- **NPI:** 1831165422 (Entity type: Individual)
- **Enumerated:** February 24, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 014349 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 149 MAIN ST, STE 1A, Winthrop, ME 04364-1462
- **Phone:** (207) 377-2114 · **Fax:** (207) 377-6112
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mainegeneral Medical Center (NPI 1083949184, Augusta, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2012
- **Other identifiers:** Medicaid 231140099 (ME); Medicare PIN 000480301 (ME); Medicare UPIN E62825 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1831165422) · Data from the CMS NPPES public registry.