Individual provider Active NPI

Shelly Miller, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houlton, ME
National Provider Identifier
1659763753
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP2018089381 Issued in ME
Practice address
23 Court St Ste 2
Houlton, ME 04730-1746
Phone
(207) 835-3214
Fax
(207) 407-7126
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP2018089381 ME Primary

Addresses

Primary practice location

23 Court St Ste 2
Houlton, ME 04730-1746

Mailing address

23 Court St Ste 2
Houlton, ME 04730-1746
Phone (207) 835-3214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150521001185 PA Practitioner - Nurse Practitioner 8123348786 Reassigns benefits to 1 organization
I20190418001763 ME Practitioner - Nurse Practitioner 8123348786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Affiliates Maine, LLCGroup PAC ID 1951594076, 169 clinicians

Practice addresses (Care Compare)

23 Court St
Suite 2
Houlton, ME 04730-1746
Phone (207) 835-3214

306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP2018089381MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Apr 5, 2015 Accepting new patients
Central Aroostook Psychiatric Services LLC CurrentSince Apr 12, 2021 Accepting new patients
Geisinger Clinic CurrentSince Apr 5, 2015 Accepting new patients
Health Affiliates Maine, LLC CurrentSince Feb 24, 2021 Accepting new patients
Birch Grove Mental Health & Wellness, LLC Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients
Family Health Associates of Geisinger Lewistown Hospital Past Accepting new patients

Locations

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

23 Court St
Ste 2
Houlton, ME 04730
Phone (207) 223-7185

100 N Academy Ave
Danville, PA 17822

27 Sandy Ln
Ste 250
Lewistown, PA 17044
Phone (717) 242-7332

27 Sandy Ln
Ste 140
Lewistown, PA 17044
Phone (717) 242-2711

Interoperability endpoints

  • Direct secure messaging: birchgrovementalh&w.shellymiller@158316.advancedmd-direct.com

Organizations & group practices 7

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": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1659763753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 COURT ST STE 2",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301746",
            "telephone_number": "207-835-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 COURT ST STE 2",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301746",
            "telephone_number": "207-835-3214",
            "fax_number": "207-407-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHELLY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP2018089381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.