DR. SHANNON JANICE EZOVSKI MD
NPI 1134624125
Psychiatry & Neurology - Child & Adolescent Psychiatry in Westbrook, ME

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
123 ANDOVER RD, WESTBROOK, ME 04092(207) 761-2200 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2026, Mar 29, 2018 (2 updates tracked since 2018).

About Dr. Shannon Janice Ezovski Md NPPES

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

DR. SHANNON JANICE EZOVSKI MD (NPI 1134624125) is an individual child & adolescent psychiatry provider in Westbrook, Maine, licensed in Maine (MD26680) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Tufts University School Of Medicine (2018).

NPPES Registry Identity

NPI1134624125
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SHANNON JANICE EZOVSKICredential: MD
Location Address123 ANDOVER RDWestbrook, ME 04092-3848
Mailing Address123 Andover RdWestbrook, ME 04092-3848 · (207) 761-2200
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1134624125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in ME · MD26680
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD26680 (ME)
123 ANDOVER RD, Westbrook, ME 04092

Secondary Practice Location 1

Location 1216 Vaughan StPortland, ME 04102-3204 · Phone (076) 622-2221 · Fax (207) 810-2367

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannon Janice Ezovski Md 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.

PECOS PAC ID4981042538
PECOS Enrollment IDI20240402003543
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Psychologist
123 ANDOVER RD
WESTBROOK, ME 04092
Social Worker (Clinical)
123 ANDOVER RD
WESTBROOK, ME 04092
Psychiatry & Neurology (Psychiatry)
123 ANDOVER RD
WESTBROOK, ME 04092
Social Worker (Clinical)
123 ANDOVER RD
WESTBROOK, ME 04092
Social Worker (Clinical)
123 ANDOVER RD
WESTBROOK, ME 04092
Psychologist
123 ANDOVER RD
WESTBROOK, ME 04092
Social Worker (Clinical)
123 ANDOVER RD
WESTBROOK, ME 04092
Occupational Therapist
123 ANDOVER RD
WESTBROOK, ME 04092

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 Shannon Ezovski's NPI number?

The NPI number for Shannon Ezovski is 1134624125. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Shannon Ezovski located?

Shannon Ezovski practices at 123 Andover Rd, Westbrook, ME 04092. The listed phone number is (207) 761-2200.

What is Shannon Ezovski's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Shannon Ezovski enrolled in Medicare?

Yes. Shannon Ezovski 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.

What insurance does Shannon Ezovski accept?

Health plans from Harvard Pilgrim Health Care list Shannon Ezovski 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 Shannon Ezovski was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.