SANDHYA JOY SHANLEY
NPI 1871250241
Nurse Practitioner - Psychiatric/Mental Health in Wells, ME

Q: What is Sandhya Shanley's NPI number?

The NPI number for Sandhya Shanley is 1871250241. It was assigned to this individual provider in the NPPES registry on November 20, 2021.

Q: What is Sandhya Shanley'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 Sandhya Shanley was last updated on November 20, 2021. 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 November 20, 2021PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

300 BRAGDON RD, WELLS, ME 04090(207) 504-0988 Get Directions Write a Review

NPPES record last updated: November 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sandhya Joy Shanley NPPES

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

SANDHYA JOY SHANLEY (NPI 1871250241) is an individual psychiatric/mental health provider in Wells, Maine, licensed in Maine (CNP211424) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Northeastern Vermont Regional Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871250241

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSANDHYA JOY SHANLEY

Location Address300 BRAGDON RDWells, ME 04090-6603

Mailing Address300 Bragdon RdWells, ME 04090-6603 · (207) 504-0988

Phone(207) 504-0988

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 20, 2021

NPPES CertifiedNovember 20, 2021

✔ NPI 1871250241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in ME · CNP211424

300 BRAGDON RD, Wells, ME 04090

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Sandhya Joy Shanley 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 ID6002209665

PECOS Enrollment IDI20240731001230

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

74 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471303

Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04090 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

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 Sandhya Shanley's NPI number?

The NPI number for Sandhya Shanley is 1871250241. It was assigned to this individual provider in the NPPES registry on November 20, 2021.

Where is Sandhya Shanley located?

Sandhya Shanley practices at 300 Bragdon Rd, Wells, ME 04090. The listed phone number is (207) 504-0988.

What is Sandhya Shanley's specialty?

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

Is Sandhya Shanley enrolled in Medicare?

Yes. Sandhya Shanley 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 Sandhya Shanley accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Sandhya Shanley 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.

Is Sandhya Shanley affiliated with any hospitals?

According to CMS data, Sandhya Shanley is affiliated with Northeastern Vermont Regional Hospital.

When was this NPI record last updated?

The NPPES record for Sandhya Shanley was last updated on November 20, 2021. 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.