KELLIE L SHUCK PMHNP-CNS, BC
NPI 1598720534
Nurse Practitioner - Psychiatric/Mental Health in Patten, ME

Q: What is Kellie Shuck's NPI number?

The NPI number for Kellie Shuck is 1598720534. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Kellie Shuck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Shuck was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 April 20, 2006PECOS Enrolled

30 HOULTON ST, PATTEN, ME 04765(866) 366-5842 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2022, Jul 31, 2019 (2 updates tracked since 2019).

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About Kellie L Shuck Pmhnp-cns, Bc NPPES

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

KELLIE L SHUCK PMHNP-CNS, BC (NPI 1598720534) is an individual psychiatric/mental health provider in Patten, Maine, licensed in Maine (CNP211623) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1598720534

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLIE L SHUCKCredential: PMHNP-CNS, BC

Location Address30 HOULTON STPatten, ME 04765-3035

Mailing Address114 W 7th St Ste 900Austin, TX 78701-3013 · (888) 285-2269 · Fax (888) 285-2269

Phone(866) 366-5842

Sole ProprietorNo

Enumeration DateApril 20, 2006

Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2022

✔ NPI 1598720534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ME · CNP211623

Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 2000161947 (MO)

30 HOULTON ST, Patten, ME 04765

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Secondary Practice Location 1

Location 11001 W Worley StColumbia, MO 65203-2037 · Phone (573) 214-2314 · Fax (573) 814-2835

Other Identifiers 1

Medicaid427531801MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie L Shuck Pmhnp-cns, Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04765 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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.

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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.

BETH ANNE MARTIN LMSW

Social Worker (Clinical)