Shannon Joan Carroll, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R198017 Issued in MD

Practice address

1448 Richardson St
Baltimore, MD 21230-5322

Phone

(301) 648-4545

NPI assigned

Jul 1, 2019

Sex

Female

Sole proprietor

No

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.

• Dimensions Healthcare Associates, Inc.

  • Anesthesiology Physician
  • Largo, MD
  • NPI 1346354834

  DC

  Medicare reassignment Care Compare group NPD
• Johns Hopkins University

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549

  MD

  Medicare reassignment Care Compare group NPD
• Dimensions Health Associates Dba University of Maryland Capital Region

  • Internal Medicine Physician
  • Oxon Hill, MD
  • NPI 1407486293
  Care Compare group NPD
• Dimensions Healthcare Associates Inc

  • Internal Medicine Physician
  • Laurel, MD
  • NPI 1487714168
  Care Compare group
• Johns Hopkins University

  • Adult Congenital Heart Disease Physician
  • Baltimore, MD
  • NPI 1083224596
  Care Compare group
• Johns Hopkins University

  • Body Imaging Physician
  • Baltimore, MD
  • NPI 1093796609
  Care Compare group
• Johns Hopkins University

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1104816172
  Care Compare group
• Johns Hopkins University

  • Anaplastologist
  • Baltimore, MD
  • NPI 1164584488
  Care Compare group
• Johns Hopkins University

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Baltimore, MD
  • NPI 1275180424
  Care Compare group
• Johns Hopkins University

  • Clinical Medical Laboratory
  • Baltimore, MD
  • NPI 1447221726
  Care Compare group
• Johns Hopkins University

  • Critical Care Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1689162034
  Care Compare group
• Johns Hopkins University

  • Clinical Medical Laboratory
  • Baltimore, MD
  • NPI 1780824458
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dimensions Health Corporation

  • General Acute Care Hospital
  • Upper Marlboro, MD
  • NPI 1720099286

  Hospital

  Care Compare affiliation
• The Johns Hopkins Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1578597993

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Johns Hopkins University 2,886 clinicians

Dimensions Healthcare Associates, Inc 198 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
• University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003

Merit-based Incentive Payment System (MIPS)

Final score

83.31 of 100Reported as group

Quality

73.89

Promoting interoperability

100

Improvement activities

40

Cost

70.47

Merit-based Incentive Payment System (MIPS)

Final score

96.64 of 100Reported as group

Quality

88.96

Promoting interoperability

100

Improvement activities

40

Cost

73.82

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scarroll8966@direct.hopkinsmedicine.org
• Direct secure messaging: scarroll983335@direct.umm.edu

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2024.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1215599170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 RICHARDSON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305322",
            "telephone_number": "301-648-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 RICHARDSON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305322",
            "telephone_number": "301-648-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "SHANNON",
        "middle_name": "JOAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R198017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "R198017",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "R198017",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "epic medical record system and patient email through mychart",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1448 Richardson St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212305322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Pawtowski Carroll, RN, MSN, CPNP-PC
• Paul Carroll
• Rachel M Carroll, PA-C
• Ruben Carroll, LCSW-C
• Samantha Carroll
• Victoria Rose Carroll, RN
• Benjamin Solomon Carson, M.D.
• Marcus Reginald Carson, PHARM.D.
• Marcus Thomas Carson, P.D
• Rebecca J. Carson, FNP

• All providers in Baltimore, MD
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.

Verify at the official NPI Registry.