SHAUNA LANE – Family Nurse Practitioner, NPI 1154190650

SHAUNA LANE is a healthcare provider. based in Lewiston, Maine. specializing in NURSE PRACTITIONER. They hold a License No. CNP231573 (ME). The NPI Number for SHAUNA LANE is 1154190650

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SHAUNA LANE
NPI
1154190650
Phone
(207) 777-7740
Address
15 STRAWBERRY AVE
Enumeration Date
26 December 2023
Last Update Date
14 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
7214470954
Group Practice PAC ID
2668467614
Professional Enrollment ID
I20240621002776
Address ID
ME042405941Le15XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

Provider Addresses for SHAUNA LANE

  • 15 STRAWBERRY AVE

    LEWISTON, ME 042405941

    Phone: (207) 777-7740

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Medline Industries LP ($124).

Total Amount

$217

General + Research + Ownership

Payments

3

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240621002776INurse PractitionerMETBD

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.

Verify on CMS Revalidation Lookup Tool

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 04240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668467614View full group profile
NameSpecialtyState
Clinical Social WorkerME
Physical Therapist In Private PracticeME
Mental Health CounselorME
Mental Health CounselorME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
Nurse PractitionerMA
Clinical Social WorkerME
Mental Health CounselorME

Reviews

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Frequently asked questions

What unique ID ties claims to SHAUNA LANE?
NPI 1154190650 is assigned to SHAUNA LANE under the national enumeration system.
Is SHAUNA LANE currently active in the NPI registry?
CMS-published data lists SHAUNA LANE as an active registrant.
What kind of provider is SHAUNA LANE?
The page reflects Family Nurse Practitioner for SHAUNA LANE. Clinical services aligned with this taxonomy classification.
Does SHAUNA LANE practice in Maine?
You will see Lewiston, Maine on file for SHAUNA LANE alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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