Individual provider Active NPI

Hyesung Shin

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1104226505
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2294468 Issued in MA
Practice address
900 S Caton Ave
Baltimore, MD 21229-5201
Phone
(667) 234-2000
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 RN2294468 MA Primary

Addresses

Primary practice location

900 S Caton Ave
Baltimore, MD 21229-5201

Mailing address

301 Hospital Dr
Ccu
Glen Burnie, MD 21061-5803
Phone (410) 787-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150211000976 MD Practitioner - Nurse Practitioner 6002131232 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000

313 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 761-1222

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3120

Hospital & facility affiliations

  • Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2294468MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Washington Medical Center Inc. CurrentSince Feb 1, 2015 Accepting new patients
Mdics at Calvert LLC CurrentSince Feb 26, 2019 Accepting new patients
Baltimore Washington Medical Center Inc. CurrentSince Feb 1, 2015 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
St Agnes Healthcare Inc Nurse Practitioner CurrentSince Feb 22, 2023 Accepting new patients
St Agnes Healthcare Inc CurrentSince Feb 22, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Baltimore Washington Medical Center Inc. Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

300 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4940

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: hshin151774@direct.umm.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1104226505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "address_2": "CCU",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-787-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "667-234-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "HYESUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2294468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.