SHANE SULLIVAN SIMPSON LCSW
NPI 1053471995
Social Worker - Clinical in Lewiston, ME
About Shane Sullivan Simpson Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE SULLIVAN SIMPSON LCSW (NPI 1053471995) is an individual clinical provider in Lewiston, Maine, licensed in Maine (LC8693) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Augusta, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shane Sullivan Simpson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Shane Simpson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Augusta, ME 04330
- Reassigned Medicare billing, Maine enrollment
- 978 clinicians in this Medicare group
Saco, ME 04072
- Reassigned Medicare billing, Maine enrollment
- 64 clinicians in this Medicare group
Waterville, ME 04901
- Reassigned Medicare billing, Maine enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEWISTON, ME 04240
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shane Simpson's NPI number?
The NPI number for Shane Simpson is 1053471995. It was assigned to this individual provider in the NPPES registry on December 11, 2006.
Where is Shane Simpson located?
Shane Simpson practices at 230 Bartlett St, Lewiston, ME 04240. The listed phone number is (207) 783-4695.
What is Shane Simpson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Shane Simpson enrolled in Medicare?
Yes. Shane Simpson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shane Simpson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shane Simpson reassigns Medicare benefits to 3 organizations: Mainegeneral Medical Center (Augusta, ME), Sweetser (Saco, ME) and Mainegeneral Health (Waterville, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shane Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shane Simpson accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Shane Simpson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shane Simpson was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shane Sullivan Simpson, LCSW · NPI 1053471995
Clinical provider in Lewiston, Maine. Individual provider, active in the CMS NPPES registry since December 11, 2006.
## Identity
- **NPI:** 1053471995 (Entity type: Individual)
- **Enumerated:** December 11, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LC8693 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 230 BARTLETT ST, Lewiston, ME 04240-6578
- **Phone:** (207) 783-4695
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mainegeneral Medical Center (NPI 1083949184, Augusta, ME); Sweetser (NPI 1538122445, Saco, ME); Mainegeneral Health (NPI 1932268026, Waterville, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053471995) · Data from the CMS NPPES public registry.