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

Shellyann Wall, PA-C

Individual provider Physician Assistant · NPI 1235157488

Shellyann Wall, PA-C is a Physician Assistant in Belfast, Maine. Qualified in 2002, 24 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine and North Carolina.

Years since qualifying
24
Licensed in
ME, NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

118 Northport Ave
Belfast, ME 04915-6009
Phone: (207) 338-2500
Fax: (207) 505-4590
Show map & directions

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

Additional practice locations (1)

  • 10648 Park Rd, Charlotte, NC 28210-8407 — (704) 667-8050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2003 (ME)
Physician Assistant Taxonomy 363A00000X · Licence 103723 (NC)

Record details

NPI number1235157488
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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