Individual provider Active NPI

Shannon Sicard Axelson, CNM MSN

  • Advanced Practice Midwife
  • Augusta, ME
National Provider Identifier
1275678484
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM82054 Issued in ME
Practice address
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone
(207) 621-9100
Fax
(207) 623-1462
NPI assigned
Feb 21, 2007
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X R047004 ME
Advanced Practice Midwife 367A00000X CNM82054 ME Primary

Addresses

Primary practice location

35 Medical Center Pkwy
Augusta, ME 04330-8160

Mailing address

35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 621-9100

Other practice location 1

121 Medical Center Dr Ste 2700
Brunswick, ME 04011-2669
Phone (207) 721-8700

Other identifiers 1

IdentifierTypeStateIssuer
269350099MedicaidME

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170313000327 ME Practitioner - Certified Nurse Midwife (CNM) 9436433497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

149 N St
Waterville, ME 04901
Phone (207) 872-1000

35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000

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
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
R047004MEMDMidwife
CNM82054MEMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Mar 29, 2021 Accepting new patients
Mainehealth CurrentSince Mar 29, 2021 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 27, 2017 Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 27, 2017 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Past Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

16 Fahy St
Ste 108
Belfast, ME 04915
Phone (207) 505-4332

121 Medical Center Dr
Ste 2700
Brunswick, ME 04011
Phone (207) 721-8700

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

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • Direct secure messaging: saxelson353900@direct.mmc.mainehealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1275678484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MEDICAL CENTER PKWY",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308160",
            "telephone_number": "207-621-9100",
            "fax_number": "207-623-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEDICAL CENTER PKWY",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308160",
            "telephone_number": "207-621-9100",
            "fax_number": "207-623-1462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Medical Center Dr Ste 2700",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112669",
            "country_code": "US",
            "telephone_number": "207-721-8700",
            "fax_number": "207-536-6719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AXELSON",
        "first_name": "SHANNON",
        "middle_name": "SICARD",
        "credential": "CNM MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ME",
            "license": "R047004",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ME",
            "license": "CNM82054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269350099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

Verify at the official NPI Registry.