Individual provider Active NPI

Shannon Sprenkle, CRNP

  • Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1013384072
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R193935 Issued in MD
Practice address
12502 Willowbrook Rd
Suite 280
Cumberland, MD 21502-6491
Phone
(240) 964-8750
Fax
(240) 964-8699
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R193935 MD Primary

Addresses

Primary practice location

12502 Willowbrook Rd
Suite 280
Cumberland, MD 21502-6491

Mailing address

12502 Willowbrook Rd
Suite 280
Cumberland, MD 21502-6491
Phone (240) 964-8750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151015001537 MD Practitioner - Nurse Practitioner 9638488547 Reassigns benefits to 2 organizations
I20200214000605 WV Practitioner - Nurse Practitioner 9638488547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12500 Willowbrook Rd
Cumberland, MD 21502-6393

32 Corporate Dr
Grantsville, MD 21536-1259

4535 Dressier Rd NW
Canton, OH 44718-2545

PO Box
Suite 1270
Ridgeley, WV 26753-1270

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R193935MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Garrett County, LLC CurrentSince Apr 1, 2021 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Sep 30, 2025 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Dec 16, 2019 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Sep 22, 2015 Accepting new patients
Mep Observation Services LLC Nurse Practitioner CurrentSince Jun 1, 2019 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Dec 16, 2019 Accepting new patients
Upmc Western Maryland Corporation Nurse Practitioner Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Sep 22, 2015 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Apr 1, 2021 Accepting new patients
Mep Observation Services LLC CurrentSince Jun 1, 2019 Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients
Potomac Valley Hospital of W VA , Inc PastSince Dec 22, 2019 Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients

Locations

12502 Willowbrook Rd
Ste 280
Cumberland, MD 21502
Phone (240) 964-8750

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

10261 Frankfort Hwy
Ste 3
Fort Ashby, WV 26719
Phone (304) 597-3600

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1013384072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD",
            "address_2": "SUITE 280",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026491",
            "telephone_number": "240-964-8750",
            "fax_number": "240-964-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD",
            "address_2": "SUITE 280",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026491",
            "telephone_number": "240-964-8750",
            "fax_number": "240-964-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRENKLE",
        "first_name": "SHANNON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R193935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.