Shannon Marie Meredith, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1000 Issued in ME

Practice address

195 Fore River Pkwy
Suite 210
Portland, ME 04102-2780

Phone

(207) 553-6682

Fax

(207) 553-6681

NPI assigned

Jun 9, 2006

Sex

Female

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 8

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MRH CorpGroup PAC ID 1355770892, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Mayo Hospital Hospital, Dover Foxcroft, ME, CCN 201309
• Northern Light C a Dean Hospital Hospital, Greenville, ME, CCN 201301

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.4

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

88.7 of 100Reported as group

Quality

74.14

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MRH Corp.

  • Critical Access Hospital
  • Dover Foxcroft, ME
  • NPI 1558319103
  Medicare reassignment Care Compare group
• Charles a Dean Memorial Hospital

  • Critical Access Hospital
  • Greenville, ME
  • NPI 1659388213
  Medicare reassignment NPD
• Sebasticook Valley Health

  • Critical Access Hospital
  • Pittsfield, ME
  • NPI 1457461477
  Medicare reassignment NPD
• Eastern Maine Healthcare Systems

  • Medicare Defined Swing Bed Hospital Unit
  • Greenville, ME
  • NPI 1104834977
  NPD
• MRH Corp.

  • Medicare Defined Swing Bed Hospital Unit
  • Dover Foxcroft, ME
  • NPI 1548463623
  NPD
• Sebasticook Valley Health

  • Rural Health Clinic/Center
  • Unity, ME
  • NPI 1427181486
  NPD
• Eastern Maine Healthcare Systems

  • Rural Health Clinic/Center
  • Greenville, ME
  • NPI 1265441323
  NPD (past)
• Mercy Hospital

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

  • Family Medicine Physician
  • Dover Foxcroft, ME
  • NPI 1548382328
  NPD (past)

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

• Charles a Dean Memorial Hospital

  • Critical Access Hospital
  • Greenville, ME
  • NPI 1659388213
  Care Compare affiliation
• MRH Corp.

  • Critical Access Hospital
  • Dover Foxcroft, ME
  • NPI 1558319103
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1407897614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 STATE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013776",
            "telephone_number": "207-879-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FORE RIVER PKWY",
            "address_2": "SUITE 210",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022780",
            "telephone_number": "207-553-6682",
            "fax_number": "207-553-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "1000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "014284",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "104104",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480016606",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127440000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE SHIELD",
            "identifier": "14284",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "U47765",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARTINS POINT",
            "identifier": "001299",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "100429800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Hospital
• Mercy Hospital
• Mercy Hospital
• Mercy Services, LLC
• Meredith Howe, LMFT, LLC
• Kaitlin Marie Merone, M.A.
• Anne Merra, MD
• Carin Lee Merrill, LCSW
• Nicole E Merrill, NP
• Parker Halsey Merrill, MD

• Podiatrist in Portland, ME
• Providers in Portland, ME by specialty
• Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.