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ROSELLEN PROVOST SHAHIDI MD
NPI 1457054926
Internal Medicine in Portland, ME

Active since March 23, 2023PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2911(207) 662-6006 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2026, May 4, 2026, Jul 6, 2023 and 1 more (4 updates tracked since 2023).

About Rosellen Provost Shahidi Md NPPES

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

ROSELLEN PROVOST SHAHIDI MD (NPI 1457054926) is an individual internal medicine provider in Portland, Maine, licensed in Maine (MD30125) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Westbrook, and is a graduate of Virginia Commonwealth University, School Of Medicine (2023).

NPPES Registry Identity

NPI1457054926
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameROSELLEN PROVOST SHAHIDICredential: MD
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-2911 · Fax (207) 662-6006
Phone(207) 662-2911
Fax(207) 662-6006
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2023
Enumeration DateMarch 23, 2023
Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1457054926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · MD30125
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22 BRAMHALL ST, Portland, ME 04102
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Other Names 1

Former Name (1)Rosellen Grace Provost Md

Secondary Practice Location 1

Location 11 Harnois Ave Ste 1BWestbrook, ME 04092-4395 · Phone (207) 662-1340 · Fax (207) 662-1341

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosellen Provost Shahidi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123488467
PECOS Enrollment IDI20260710001060
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.

Medicare Billing Reassignment

Medicare enrollment records show Rosellen Shahidi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainehealth
Same address
Infectious Disease
22 BRAMHALL ST
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1073701157 (207) 662-3067

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 04102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Rosellen Shahidi's NPI number?

The NPI number for Rosellen Shahidi is 1457054926. It was assigned to this individual provider in the NPPES registry on March 23, 2023. The provider is also known as Rosellen Grace Provost MD.

Where is Rosellen Shahidi located?

Rosellen Shahidi practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2911.

What is Rosellen Shahidi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rosellen Shahidi enrolled in Medicare?

Yes. Rosellen Shahidi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rosellen Shahidi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosellen Shahidi reassigns Medicare benefits to Mainehealth (Portland, ME). The 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 Rosellen Shahidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosellen Shahidi accept?

Health plans from Anthem Blue Cross and Blue Shield list Rosellen Shahidi 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 Rosellen Shahidi was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.