Individual provider Active NPI

Caroline Shirima, CRNP

  • Family Nurse Practitioner
  • Edgewater, MD
National Provider Identifier
1114396637
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R158677 Issued in MD
Practice address
20 Mayo Rd Ste 201
Edgewater, MD 21037-1442
Phone
(410) 956-6800
NPI assigned
Sep 15, 2015
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R158677 MD Primary

Addresses

Primary practice location

20 Mayo Rd Ste 201
Edgewater, MD 21037-1442

Mailing address

20 Mayo Rd Ste 201
Edgewater, MD 21037-1442
Phone (410) 956-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20160201001410 DC Practitioner - Nurse Practitioner 4284938911 Reassigns benefits to 4 organizations
I20160201002011 MD Practitioner - Nurse Practitioner 4284938911 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (410) 581-1200

5601 Loch Raven Blvd Russel
Ste2
Baltimore, MD 21239-2945
Phone (443) 444-5600

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Physician Services, LLC CurrentSince Jan 15, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2021 Accepting new patients
Psychogeriatric Services LLC CurrentSince Feb 24, 2017 Accepting new patients
Medstar Total Elder Care LLC CurrentSince Jul 1, 2025 Accepting new patients
1St Medical Pain Management Specialists Current Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Complete Health Service Inc. PastSince Jun 15, 2020 Accepting new patients

Locations

110 Irving St NW
Rm 3114
Washington, DC 20010
Phone (202) 877-0570

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

405 Frederick Rd
Ste 11
Catonsville, MD 21228
Phone (410) 788-4411

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

8700 Jones Mill Rd
Chevy Chase, MD 20815
Phone (301) 350-5555

20 Mayo Rd
Ste 201
Edgewater, MD 21037
Phone (410) 956-6800

7420 Marlboro Pike
Forestville, MD 20747
Phone (301) 424-9560

6500 Riggs Rd
Hyattsville, MD 20783
Phone (301) 434-0500

14200 Laurel Park Dr
Laurel, MD 20707
Phone (301) 953-7980

785 Elkridge Landing Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 323-3014

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

5620 Saint Barnabas Rd
Ste 340
Oxon Hill, MD 20745
Phone (240) 766-4552

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1114396637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAYO RD STE 201",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371442",
            "telephone_number": "410-956-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAYO RD STE 201",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371442",
            "telephone_number": "410-956-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRIMA",
        "first_name": "CAROLINE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R158677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

Verify at the official NPI Registry.