Individual provider Active NPI

Meredith O'Neill Shelton, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1215310313
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R176914 Issued in MD
Practice address
8605 Ridgelys Choice Dr
Baltimore, MD 21236-2953
Phone
(410) 248-2310
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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 R176914 MD Primary

Addresses

Primary practice location

8605 Ridgelys Choice Dr
Baltimore, MD 21236-2953

Mailing address

4026 Cutty Sark Rd
Baltimore, MD 21220-2317
Phone (443) 986-0448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20151221002417 MD Practitioner - Nurse Practitioner 1052612868 Reassigns benefits to 1 organization
I20151221002620 DC Practitioner - Nurse Practitioner 1052612868 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Oct 26, 2015 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Oct 26, 2015 Accepting new patients
Medstar Urgent Care LLC CurrentSince Oct 26, 2015 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

8605 Ridgelys Choice Dr
Nottingham, MD 21236
Phone (410) 248-2310

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1215310313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 CUTTY SARK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202317",
            "telephone_number": "443-986-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 RIDGELYS CHOICE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362953",
            "telephone_number": "410-248-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MEREDITH",
        "middle_name": "O'NEILL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R176914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.