SHERMANE M ANDERSON (PAC) – Medical Physician Assistant, NPI 1710930037

SHERMANE M ANDERSON (PAC) is a healthcare provider. based in Brewer, Maine. specializing in Medical Physician Assistant. They hold the professional credentials PAC. They hold a License No. PA-797 (ME). The NPI Number for SHERMANE M ANDERSON (PAC) is 1710930037

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
SHERMANE M ANDERSON (PAC)
NPI
1710930037
Phone
(207) 973-5461
Address
43 WHITING HILL RD STE 300
Enumeration Date
18 May 2006
Last Update Date
2 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2072753800
Graduation Year
1993 (33 years ago)
PAC ID
5890723175
Group Practice PAC ID
2062315161
Professional Enrollment ID
I20050728000331

Contacts

Secure Messaging
smanderson@direct.emhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for SHERMANE M ANDERSON (PAC)

  • 43 WHITING HILL RD STE 300

    BREWER, ME 044121006

    Phone: (207) 973-5461

    Type: Mailing

  • 1, Northeast Drive, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044014332

    Phone: (207) 927-5380

    Fax: (207) 275-3803

    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: 2005-07-28

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
I20050728000331IPhysician AssistantMETBD

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 04412)

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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: 2062315161View full group profile
NameSpecialtyState
Physician AssistantME
Nurse PractitionerME
Certified Registered Nurse Anesthetist (Crna)ME
Cardiovascular Disease (Cardiology)ME
Endocrinology, Internal MedicineME
-ME
Nurse PractitionerME
Thoracic SurgeryME
H O S P I T A L I S TME
-NJ

Reviews

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Frequently asked questions

Can I use this page to confirm SHERMANE M ANDERSON (PAC)'s NPI?
Yes. SHERMANE M ANDERSON (PAC) is listed with NPI 1710930037 in the public NPI dataset.
Is SHERMANE M ANDERSON (PAC) still practicing?
SHERMANE M ANDERSON (PAC) is currently listed as active in the public NPI registry.
What is SHERMANE M ANDERSON (PAC)'s specialty?
The listing groups SHERMANE M ANDERSON (PAC) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect SHERMANE M ANDERSON (PAC) on a map?
Expect Brewer, Maine as a primary anchor for SHERMANE M ANDERSON (PAC) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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