Shelley Maurice-Maier, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00354 Issued in OR

Practice address

2597 NW Champion Cir
Bend, OR 97701-8692

Phone

(541) 385-1803

Fax

(503) 210-0503

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Physician Assistant

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Kenneth R Maier, MD

  • Family Medicine Physician
  • La Pine, OR
  • NPI 1790700714
  Medicare reassignment
• Maurice-Maier Enterprises, Inc

  • Mental Health Counselor
  • Bend, OR
  • NPI 1285815142
  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1902016652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 NW CHAMPION CIR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018692",
            "telephone_number": "541-322-8830",
            "fax_number": "503-210-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2597 NW CHAMPION CIR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018692",
            "telephone_number": "541-385-1803",
            "fax_number": "503-210-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURICE-MAIER",
        "first_name": "SHELLEY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Rosemary Mattson
• Rose Mattson, MS, RD
• Emily Legault Mauller, MD
• Richard John Maunder, MD
• Maurice-Maier Enterprises, Inc
• Cherish L Maushak, LMT
• Frankie Ann Mauti, RD, LD
• Laura Kelly Mavity, M.D.
• Kerry Ann Mawdsley, FNP
• Max'S Mobile Massage LLC

• Physician Assistant in Bend, OR
• Providers in Bend, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.