Active NPI
Kaitlin Shapelow, NP
- Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R182343
- Practice address
- 22 S. Greene St, Adult Emergency Department
Baltimore, MD 21201 - Phone
- (410) 328-9503
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R182343 | MD | Primary |
Addresses
Primary practice location
22 S. Greene St, Adult Emergency Department
Baltimore, MD 21201
Mailing address
22 S. Greene St, Adult Emergency Department
Baltimore, MD 21201
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
Enrollment records 1
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
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6720
827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 225-8446
Hospital & facility affiliations
- University of Maryland Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R182343 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland General Clinical Practice Group, Inc. | Current | Accepting new patients | |
| University of Maryland Midtown Health Inc | Current | Accepting new patients | |
| University of Maryland Emergency Medicine Associates, PA | Current | Accepting new patients | |
| Maryland General Clinical Practice Group, Inc. | Current | Accepting new patients | |
| University of Maryland Anesthesiology Associates, P.a. | Current | Accepting new patients |
Locations
827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185
105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387
250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267
Interoperability endpoints
- kshapelow105472@direct.umm.edu
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.
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1770684805
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1720024235
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1144271743
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1710347729
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1689413197
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1235559642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S. GREENE ST, ADULT EMERGENCY DEPARTMENT",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S. GREENE ST, ADULT EMERGENCY DEPARTMENT",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21201",
"telephone_number": "410-328-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPELOW",
"first_name": "KAITLIN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-24",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R182343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.