Individual provider Active NPI

Shannon Achorn, NP

  • Family Nurse Practitioner
  • Rockland, ME
National Provider Identifier
1891594271
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP241796 Issued in ME
Practice address
100 Commons Dr
Rockland, ME 04841-5544
Phone
(207) 466-8788
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP241796 ME Primary

Addresses

Primary practice location

100 Commons Dr
Rockland, ME 04841-5544

Mailing address

865 Pinnacle Rd
Liberty, ME 04949-3524
Phone (207) 542-7402

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
I20250401001731 ME Practitioner - Nurse Practitioner 3779006622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ventura Medical Services LLCGroup PAC ID 7618342254, 16 clinicians

Practice addresses (Care Compare)

4 Union Park Rd
Suite 8
Topsham, ME 04086-1711
Phone (207) 200-5907

Hospital & facility affiliations

  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP241796MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Medical Services LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

4 Union Park Rd
Ste 8
Topsham, ME 04086

4 Union Park Rd
#8
Topsham, ME 04086
Phone (207) 200-5907

Organizations & group practices 1

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 1

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": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1891594271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 PINNACLE RD",
            "city": "LIBERTY",
            "state": "ME",
            "postal_code": "049493524",
            "telephone_number": "207-542-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMONS DR",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048415544",
            "telephone_number": "207-466-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHORN",
        "first_name": "SHANNON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP241796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

Verify at the official NPI Registry.