Shane B. Lovley, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA001090 Issued in ME

Practice address

80 River Road
Newcastle, ME 04553-3838

Phone

(207) 563-3366

Fax

(207) 563-3393

NPI assigned

Jul 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: shane.lovley.1@19131.direct.athenahealth.com

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.

• Lifespan Family Healthcare LLC

  • Family Medicine Physician
  • Newcastle, ME
  • NPI 1598741399

  ME

  Medicare reassignment

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1083812929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 RIVER ROAD",
            "city": "NEWCASTLE",
            "state": "ME",
            "postal_code": "045533838",
            "telephone_number": "207-563-3366",
            "fax_number": "207-563-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 RIVER ROAD",
            "city": "NEWCASTLE",
            "state": "ME",
            "postal_code": "045533838",
            "telephone_number": "207-563-3366",
            "fax_number": "207-563-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVLEY",
        "first_name": "SHANE",
        "middle_name": "B.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA001090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432821199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Elizabeth Levine, CNM
• John W Lewis, M.D.
• Lifespan Family Healthcare LLC
• Lincoln Academy School Based Healthcenter
• Lucille Lothrop
• Jane McKinney, LCSW
• Rochelle McPherson, DPT, FAAOMPT
• Felicity Myers, LCSW
• Kaitlyn W. Nolan, M.D.
• Dorothy Anne Petersen, LCSW

• All providers in Newcastle, ME
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.