Miranda Shane, PA
NPI 1154994341ActiveIndividual· Physician Assistant· Auburn, ME
Physician Assistant (PA) with St Marys Regional Medical Center, practicing in Auburn, Maine. 55 Medicare patients in 2024, $6,374 paid; nearly all of their 300 Part D prescriptions were generic (98%). Mimedx Group, Inc. reported $16.54 in payments in 2025, mostly food and beverage. Lists St Mary's Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1154994341 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Jul 23, 2021 |
| Last updated in NPPES | Feb 11, 2026 |
| Certified by provider | Feb 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA2219 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 127 across 22 procedure codes |
| Paid by Medicare | $6,374 |
Part D prescriptions in 2024
| Prescriptions (claims) | 300 · 301 30-day fills |
|---|---|
| Patients | 120 |
| Total drug cost | $3,907 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Marys Regional Medical CenterLewiston, ME · 198 clinicians
Hospital affiliation
- St Mary's Regional Medical CenterLewiston, ME
Industry payments (Open Payments)
- 2025$16.54 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mimedx Group, Inc. | $16.54 | 1 |
What the 2025 payments were for
- Food and Beverage$16.54 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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