Shannon Rene Stewart, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP201001 Issued in ME

Practice address

56 Bangor St
Houlton, ME 04730-1641

Phone

(207) 521-0022

NPI assigned

Feb 28, 2018

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308
• Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
• Millinocket Regional Hospital Hospital, Millinocket, ME, CCN 201307

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.stewart.1@7377.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Houlton, ME
  • NPI 1376618546
  Medicare reassignment Care Compare group NPD
• Katahdin Valley Health Center

  • Community/Retail Pharmacy
  • Brownville, ME
  • NPI 1699479311
  NPD
• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Ashland, ME
  • NPI 1962833624
  NPD
• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Patten, ME
  • NPI 1669450524
  NPD (past)

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

• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1508823741
  Care Compare affiliation
• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1265443196
  Care Compare affiliation
• Millinocket Regional Hospital

  • Critical Access Hospital
  • Millinocket, ME
  • NPI 1275646150
  Care Compare affiliation
• The Aroostook Medical Center

  dba Northern Light A.R. Gould Hospital

  • General Acute Care Hospital
  • Presque Isle, ME
  • NPI 1396858999
  Care Compare affiliation

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1649772237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S PATTEN RD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653007",
            "telephone_number": "207-538-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BANGOR ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301641",
            "telephone_number": "207-521-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SHANNON",
        "middle_name": "RENE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP201001",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "ME",
            "license": "RN51503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora L Stanchfield, PH D
• Peter Adam Stanley, DDS
• Stephen Izzo
• Jennifer L Stevens, L.P.N.
• Martha D Stewart, DO
• Emily E. Stiles, MHRT-CSP/MHRT-C
• Damon L Stone, RN
• Jayde N Stover, CNA
• Successful Solutions LLC
• Successful Solutions, LLC.

• Family Nurse Practitioner in Houlton, ME
• Providers in Houlton, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.