Individual provider Active NPI

Shelly Roope, ARNP

  • Nurse Practitioner
  • Sangerville, ME
National Provider Identifier
1487021259
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP151099 Issued in ME
Practice address
22 Haley CT
Sangerville, ME 04479-3000
Phone
(207) 876-4811
Fax
(207) 876-4302
NPI assigned
Aug 28, 2015
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP151099 ME Primary

Addresses

Primary practice location

22 Haley CT
Sangerville, ME 04479-3000

Mailing address

22 Haley CT
Sangerville, ME 04479-3000
Phone (207) 876-4811

Other practice location 1

8 Moosehead Ln Apt 103
Dover Foxcroft, ME 04426-1400
Phone (207) 598-4313

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150924001744 ME Practitioner - Nurse Practitioner 0042528069 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP151099MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a Dean Memorial Hospital CurrentSince Sep 6, 2016 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Sep 6, 2016 Accepting new patients
Health Affiliates Maine, LLC CurrentSince Apr 10, 2025 Accepting new patients
Eastern Maine Healthcare Systems Past Accepting new patients

Locations

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

Organizations & group practices 4

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": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1487021259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HALEY CT",
            "city": "SANGERVILLE",
            "state": "ME",
            "postal_code": "044793000",
            "telephone_number": "207-876-4811",
            "fax_number": "207-876-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HALEY CT",
            "city": "SANGERVILLE",
            "state": "ME",
            "postal_code": "044793000",
            "telephone_number": "207-876-4811",
            "fax_number": "207-876-4302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Moosehead Ln Apt 103",
            "address_purpose": "LOCATION",
            "city": "Dover Foxcroft",
            "state": "ME",
            "postal_code": "044261400",
            "country_code": "US",
            "telephone_number": "207-598-4313",
            "fax_number": "207-407-7243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOPE",
        "first_name": "SHELLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP151099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sangerville, ME

Sources for this page

Verify at the official NPI Registry.