Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miranda Shane, PA

Individual provider Physician Assistant · NPI 1154994341

Miranda Shane, PA is a Physician Assistant in Auburn, Maine. Qualified in 2021, 5 years ago. Practices with St Marys Regional Medical Center, a 194-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

15 Gracelawn Rd
Auburn, ME 04210-6334
Phone: (207) 333-4710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2219 (ME)

Record details

NPI number1154994341
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 23, 2021
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address15 Gracelawn Rd, Auburn, ME 04210-6334

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Marys Regional Medical Center — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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