Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHELBY PEPPERS
NPI 1083430151
Nurse Anesthetist, Certified Registered in Bangor, ME

Q: What is Shelby Peppers's NPI number?

The NPI number for Shelby Peppers is 1083430151. It was assigned to this individual provider in the NPPES registry on November 23, 2024.

Q: What is Shelby Peppers's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Peppers was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.

Active since November 23, 2024

489 STATE ST, BANGOR, ME 04401(207) 973-9503 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 24, 2026, Nov 23, 2024 (2 updates tracked since 2024).

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About Shelby Peppers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY PEPPERS (NPI 1083430151) is an individual nurse anesthetist, certified registered in Bangor, Maine, licensed in Maine (RNA263008) and active in the NPI registry since November 2024. She maintains a secondary practice location in Kansas City and is a graduate of Other (2026).

NPPES Registry Identity

NPI1083430151

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameSHELBY PEPPERS

Location Address489 STATE STBangor, ME 04401-6616

Mailing Address43 Whiting Hill Rd Ste 250Brewer, ME 04412-1018 · (207) 973-9503

Phone(207) 973-9503

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateNovember 23, 2024

Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1083430151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in ME · RNA263008

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

489 STATE ST, Bangor, ME 04401

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Secondary Practice Location 1

Location 12301 Holmes StKansas City, MO 64108-2640 · Phone (816) 877-4423

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Peppers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901362359

PECOS Enrollment IDI20260727003211

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET ELIZABETH KASPER PA-C

Physician Assistant

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-4949

DARA H KNAPP PA

Physician Assistant

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-7000

JAIME LEE NAUGHTON CRNA

Nurse Anesthetist, Certified Registered

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-4519

YASMANI LEYVA ECHEVARRIA CRNA

Nurse Anesthetist, Certified Registered

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-7000

KATE LUCILLE BLANCHARD PA-C

Physician Assistant (Surgical)

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-7000

DR. JAMES W BERRY M.D.

Family Medicine

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-7000

JENNIFER LYNN MCKEON CRNP

Nurse Practitioner

489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401

Penobscot County (207) 973-6670

DR. LEONARD C MONEKE MD

Hospitalist

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-7000

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 Shelby Peppers's NPI number?

The NPI number for Shelby Peppers is 1083430151. It was assigned to this individual provider in the NPPES registry on November 23, 2024.

Where is Shelby Peppers located?

Shelby Peppers practices at 489 State St, Bangor, ME 04401. The listed phone number is (207) 973-9503.

What is Shelby Peppers's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Shelby Peppers enrolled in Medicare?

Yes. Shelby Peppers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Peppers was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.