Active NPI
Caroline Shirima, CRNP
- Family Nurse Practitioner
- Edgewater, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R158677
- Practice address
- 20 Mayo Rd Ste 201
Edgewater, MD 21037-1442 - Phone
- (410) 956-6800
- NPI assigned
- Sep 15, 2015
- Last updated
- Jul 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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, MD
- 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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Star Physician Services, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Psychogeriatric Services LLC | Current | Accepting new patients | |
| Medstar Total Elder Care LLC | Current | 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. | Past | 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.
-
- Internal Medicine Physician
- Linthicum Heights, MD
- NPI 1083654479
DC
-
- Geriatric Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1750752911
-
- Family Medicine Physician
- Edgewater, MD
- NPI 1922282425
-
dba 1st Medical Painrehab Center
- Clinic/Center
- Edgewater, MD
- NPI 1902348659
-
dba Complete Home Health
- Home Health Agency
- Silver Spring, MD
- NPI 1962963348
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.