MRS. SHELLY MARIE DYER LCPC
NPI 1467768952
Counselor - Professional in Bangor, ME

Active since August 23, 2010PECOS EnrolledAccepts Medicare Assignment
1263 OHIO ST, BANGOR, ME 04401(207) 478-4360 Get Directions Write a Review

NPPES record last updated: July 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Shelly Marie Dyer Lcpc NPPES

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

MRS. SHELLY MARIE DYER LCPC (NPI 1467768952) is an individual professional provider in Bangor, Maine, licensed in Maine (CC4840) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1467768952
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHELLY MARIE DYERCredential: LCPC
Location Address1263 OHIO STBangor, ME 04401-2709
Mailing Address1263 Ohio StBangor, ME 04401-2709 · (207) 478-4360
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 23, 2010
Last NPPES UpdateJuly 20, 2025
NPPES CertifiedJuly 20, 2025
✔ NPI 1467768952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ME · CC4840
1263 OHIO ST, Bangor, ME 04401

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

Mrs. Shelly Marie Dyer Lcpc 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 ID8729431986
PECOS Enrollment IDI20240124003244
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 Reassignments

2

Medicare enrollment records show Shelly Dyer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
268 STILLWATER AVENUE
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 348 clinicians in this Medicare group
Community/Behavioral Health
306 RODMAN RD
Auburn, ME 04210
  • Reassigned Medicare billing, Maine enrollment
  • 269 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.

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 Shelly Dyer's NPI number?

The NPI number for Shelly Dyer is 1467768952. It was assigned to this individual provider in the NPPES registry on August 23, 2010.

Where is Shelly Dyer located?

Shelly Dyer practices at 1263 Ohio St, Bangor, ME 04401. The listed phone number is (207) 478-4360.

What is Shelly Dyer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shelly Dyer enrolled in Medicare?

Yes. Shelly Dyer 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 Shelly Dyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Dyer reassigns Medicare benefits to 2 organizations: Acadia Hospital Corp (Bangor, ME) and Health Affiliates Maine, LLC (Auburn, 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 Shelly Dyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Dyer accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Shelly Dyer 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 Shelly Dyer was last updated on July 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.