Individual provider Active NPI

Shannon Murray, CRNA, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bar Harbor, ME
National Provider Identifier
1689951659
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP221382 Issued in ME
Practice address
10 Wayman LN
Bar Harbor, ME 04609-1625
Phone
(207) 288-5081
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA223034 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP221382 ME Primary
Registered Nurse 163W00000X RN82403 ME
Certified Registered Nurse Anesthetist 367500000X CNP221382 ME
Certified Registered Nurse Anesthetist 367500000X AP60403583 WA

Addresses

Primary practice location

10 Wayman LN
Bar Harbor, ME 04609-1625

Mailing address

50 Union St
Ellsworth, ME 04605-1599

Other practice location 1

1049 Main St Ste 2S
Mount Desert, ME 04660-6318
Phone (207) 367-3954

Other names 1

  • Ms. Shannon Murray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ME, NH4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20131010002088 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769621747 Reassigns benefits to 1 organization
I20221117002085 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769621747 Reassigns benefits to 5 organizations
I20250428002636 ME Practitioner - Nurse Practitioner 2769621747 Reassigns benefits to 1 organization
I20260209001932 NH Practitioner - Nurse Practitioner 2769621747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Baylor College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Desert Island HospitalGroup PAC ID 0941250963, 61 clinicians
Acadia Psychiatry PLLCGroup PAC ID 3971948852, 6 clinicians

Practice addresses (Care Compare)

10 Wayman LN
Bar Harbor, ME 04609-1625
Phone 20728850811375

1049 Main St
Mount Desert, ME 04660-6318
Phone (207) 367-3954

13 Orchard View Dr
Unit 2
Londonderry, NH 03053-3456
Phone (207) 367-3954

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.48 of 100Reported as group
Quality
71.71
Promoting interoperability
100
Improvement activities
40
Cost
69.07

Merit-based Incentive Payment System (MIPS)

Final score
93.15 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN82403MEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Dec 18, 2022 Accepting new patients
Cec, LLC CurrentSince Nov 7, 2022 Accepting new patients
Eastern Maine Medical Center CurrentSince Dec 18, 2022 Accepting new patients
Mount Desert Island Hospital CurrentSince Dec 7, 2022 Accepting new patients
Mount Desert Island Hospital CurrentSince Dec 7, 2022 Accepting new patients
Coastal Eye Care, P.a. CurrentSince Nov 7, 2022 Accepting new patients
Acadia Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Spokane Digestive Disease Center, P.S. CurrentSince Oct 15, 2018 Accepting new patients
Department of Veterans Affairs Past Accepting new patients
Cesc, LLC Past Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082

10 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-5082

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

128 Bucksport Rd
#B
Ellsworth, ME 04605
Phone (207) 667-6300

128 Bucksport Rd
Ellsworth, ME 04605
Phone (207) 667-6300

1049 Main St
Ste 2S
Mount Desert, ME 04660
Phone (207) 367-3954

105 W 8th Ave
Ste 6010
Spokane, WA 99204
Phone (509) 838-5950

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1689951659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WAYMAN LN",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091625",
            "telephone_number": "207-288-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1049 Main St Ste 2S",
            "address_purpose": "LOCATION",
            "city": "Mount Desert",
            "state": "ME",
            "postal_code": "046606318",
            "country_code": "US",
            "telephone_number": "207-367-3954",
            "fax_number": "207-569-6087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "CRNA, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA223034",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP221382",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN82403",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "CNP221382",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60403583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MURRAY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bar Harbor, ME

Sources for this page

Verify at the official NPI Registry.