Active NPI
Shannon Sprenkle, CRNP
- Nurse Practitioner
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R193935
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R193935 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Mep Observation Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Potomac Valley Hospital of WV, Inc. | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Nurse Practitioner | Current | Accepting new patients |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Mep Observation Services LLC | Current | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Past | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Past | 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.
-
- Emergency Medicine Physician
- Cumberland, MD
- NPI 1093003550
Nurse Practitioner
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1184769952
Nurse Practitioner
-
- Emergency Medicine Physician
- Keyser, WV
- NPI 1316054919
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1740021625
-
- Obstetrics & Gynecology Physician
- Oakland, MD
- NPI 1265819866
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grantsville, MD
- NPI 1881361442
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
- Internal Medicine Physician
- Keyser, WV
- NPI 1578305256
-
- Psychiatry Physician
- Cumberland, MD
- NPI 1285779884
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, MD
- NPI 1598417412
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.