SHANNON L CARR (MD) – Obstetrics & Gynecology Physician, NPI 1023016789
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHANNON L CARR (MD)
35 Medical Center Pkwy
Augusta, ME 043308160
Phone: (120) 762-6100
Type: Location
10, Water Street, Waterworks, Waterville, Kennebec County, Maine, 04901, United States
WATERVILLE, ME 049016559
Phone: (207) 873-9841
Fax: (207) 873-9845
Type: Mailing
University of New Mexico Hospital, 2211, Lomas Boulevard Northeast, Nob Hill, Albuquerque, Bernalillo County, New Mexico, 87106, United States
4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 871062719
Phone: (505) 272-2245
Fax: (505) 272-1109
Type: Location
659 W Washington Blvd
Chicago, IL 606612118
Phone: (312) 707-8988
Type: Location
887 CONGRESS ST STE 200
PORTLAND, ME 041023166
Phone: (207) 771-5549
Fax: (207) 771-7834
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041210000885 | I | Obstetrics/Gynecology | ME | TBD |
| I20230718002738 | I | Obstetrics/Gynecology | NH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04330)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| - | ME | |
| - | ME |
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