MARK SHAUGHNESSY (N.P.) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104880350
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,869 NURSE PRACTITIONER in ME
Provider Addresses for MARK SHAUGHNESSY (N.P.)
15 PLEASANT HILL RD STE 204
SCARBOROUGH, ME 040749688
Phone: (207) 560-3770
Fax: (207) 560-3128
Type: Mailing
Lewiston Post Office, 4165, Salling Avenue, Lewiston, Albert Township, Montmorency County, Michigan, 49756, United States
LEWISTON, ME 042437291
Phone: (207) 777-8980
Fax: (207) 777-8800
Type: Mailing
Saint Marys Regional Medical Center, 93, Campus Avenue, Lewiston, Androscoggin County, Maine, 04240, United States
LEWISTON, ME 04240
Phone: (207) 777-8700
Fax: (207) 777-8826
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $644.
Total Amount is formed as General ($644) + Research ($0) + Ownership ($0) = $644.
Last reported payment date: 2024-06-19 • Largest payer in this snapshot: ABBVIE INC. ($194).
Total Amount
$644
General + Research + Ownership
Payments
26
Total payment records
General Amount
$644
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $194 |
| Takeda Pharmaceuticals U.S.A., Inc. | $111 |
| Otsuka America Pharmaceutical, Inc. | $76 |
| Lundbeck LLC | $69 |
| Alkermes, Inc. | $46 |
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: 2006-04-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20060424000348 | I | Nurse Practitioner | ME | 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 04074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MA | |
| Clinical Psychologist | NH | |
| Clinical Psychologist | MA | |
| - | NH | |
| - | NH | |
| Clinical Social Worker | ME | |
| Clinical Social Worker | ME | |
| Clinical Social Worker | NH | |
| Clinical Social Worker | ME | |
| P S Y C H I A T R Y | NH |
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