Active NPI
Shannon L Curtis, FNP
- Family Nurse Practitioner
- Ellsworth, ME
National Provider Identifier
1871746727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP081962
- Practice address
- 37 Commerce Park
Coastal Health Center
Ellsworth, ME 04605-3383 - Phone
- (207) 667-2422
- Fax
- (207) 667-0135
- NPI assigned
- Oct 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP081962 | ME | Primary |
Addresses
Primary practice location
37 Commerce Park
Coastal Health Center
Ellsworth, ME 04605-3383
Mailing address
50 Union Street
Maine Coast Memorial Hospital
Ellsworth, ME 04605
Phone (207) 664-5304
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP081962 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health and Counseling Services | Current | Accepting new patients | |
| Community Health and Counseling Services | Current | Accepting new patients |
Locations
42 Cedar St
Bangor, ME 04401
Phone (207) 922-4600
52 Christian Ridge Rd
Ellsworth, ME 04605
Phone (207) 667-0293
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, ME
- NPI 1457415184
-
- Community Based Hospice Care Agency
- Bangor, ME
- NPI 1508921842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1871746727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 UNION STREET",
"address_2": "MAINE COAST MEMORIAL HOSPITAL",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "04605",
"telephone_number": "207-664-5304",
"fax_number": "207-664-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 COMMERCE PARK",
"address_2": "COASTAL HEALTH CENTER",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046053383",
"telephone_number": "207-667-2422",
"fax_number": "207-667-0135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURTIS",
"first_name": "SHANNON",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "AP081962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.