SHELLEY MARIE MILLIARD (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1700560224

SHELLEY MARIE MILLIARD (PMHNP-BC) is a healthcare provider. based in Newport, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. CNP231286 (ME). The NPI Number for SHELLEY MARIE MILLIARD (PMHNP-BC) is 1700560224

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SHELLEY MARIE MILLIARD (PMHNP-BC)
NPI
1700560224
Phone
(207) 368-5189
Address
118 MOOSEHEAD TRL
Enumeration Date
14 June 2023
Last Update Date
2 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2073553508
Graduation Year
2023 (3 years ago)
PAC ID
8628437779
Group Practice PAC ID
8224924576
Professional Enrollment ID
I20230707000109
Address ID
ME049533945NE291XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

Provider Addresses for SHELLEY MARIE MILLIARD (PMHNP-BC)

  • 118 MOOSEHEAD TRL

    NEWPORT, ME 049534055

    Phone: (207) 368-5189

    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)

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: 2023-07-07

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
I20230707000109INurse 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 04953)

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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: 8224924576View full group profile
NameSpecialtyState
P O D I A T R YME
Nurse PractitionerME
Family PracticeME
-ME
Clinical Social WorkerME
Nurse PractitionerME
Clinical Social WorkerME
-ME
-ME
Clinical Social WorkerME

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Frequently asked questions

Is SHELLEY MARIE MILLIARD (PMHNP-BC) listed with a National Provider Identifier?
Yes — SHELLEY MARIE MILLIARD (PMHNP-BC) has NPI 1700560224 on file in the registry.
Is there an active status for SHELLEY MARIE MILLIARD (PMHNP-BC)?
For scheduling context, SHELLEY MARIE MILLIARD (PMHNP-BC) is shown as active in the registry.
What area of care is associated with SHELLEY MARIE MILLIARD (PMHNP-BC)?
SHELLEY MARIE MILLIARD (PMHNP-BC)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SHELLEY MARIE MILLIARD (PMHNP-BC) located near Newport?
SHELLEY MARIE MILLIARD (PMHNP-BC) currently maps to Newport, Maine in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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