Individual provider Active NPI

Shaneisha D McMillan, RN

  • Certified Registered Nurse Anesthetist
  • Towson, MD
National Provider Identifier
1285481424
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN223366 Issued in MD
Practice address
7601 Osler Dr
Towson, MD 21204-7700
Phone
(410) 337-1000
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN223366 MD
Certified Registered Nurse Anesthetist 367500000X RN223366 MD Primary

Addresses

Primary practice location

7601 Osler Dr
Towson, MD 21204-7700

Mailing address

1230 N Gay St
Baltimore, MD 21213-3137
Phone (860) 819-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240806002654 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941747158 Reassigns benefits to 2 organizations
I20250507000972 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941747158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Maryland School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-4877

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN223366MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 30, 2025 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

Interoperability endpoints

  • Direct secure messaging: smcmillan708717@direct.umm.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1285481424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N GAY ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212133137",
            "telephone_number": "860-819-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 OSLER DR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047700",
            "telephone_number": "410-337-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "SHANEISHA",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MD",
            "license": "RN223366",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "RN223366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.