IndividualActive
Kellie Shuck, PMHNP-CNS, BC
NPI 1598720534 · Psychiatric/Mental Health Nurse Practitioner · Patten, ME
Provider details
- NPI number
- 1598720534
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-CNS, BC
- Sex
- Female
- Sole proprietor
- No
- License
- 2000161947 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 Houlton St
Patten, ME 04765-3035
Phone: (866) 366-5842
Street-level locationGet directions
Mailing address
114 W 7th St Ste 900
Austin, TX 78701-3013
Additional practice locations (1)
- 1001 W Worley StColumbia, MO 65203-2037Phone: (573) 214-2314Fax: (573) 814-2835
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2022-02-10
- Certified
- 2022-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.