Individual provider Active NPI

Shannon Rose Wille Wrobel, FNP-C

  • Family Nurse Practitioner
  • Pasadena, MD
National Provider Identifier
1336907740
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R181074 Issued in MD
Practice address
7879 Brighton CT
Pasadena, MD 21122-6362
Phone
(585) 797-3437
NPI assigned
Mar 11, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 R181074 MD Primary

Addresses

Primary practice location

7879 Brighton CT
Pasadena, MD 21122-6362

Mailing address

7879 Brighton CT
Pasadena, MD 21122-6362
Phone (585) 797-3437

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426002917 MD Practitioner - Nurse Practitioner 2860832607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Pain Management LLCGroup PAC ID 1850531302, 4 clinicians

Practice addresses (Care Compare)

8031 Ritchie Hwy
Suite 202
Pasadena, MD 21122-1033
Phone (443) 821-4050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Global Pain Management LLC CurrentSince Apr 1, 2024 Accepting new patients
Global Pain Management CurrentSince Apr 1, 2024 Accepting new patients

Locations

8031 Ritchie Hwy
Ste 100
Pasadena, MD 21122
Phone (443) 825-4050

8031 Ritchie Hwy
Ste 202
Pasadena, MD 21122
Phone (443) 821-4050

8055 Ritchie Hwy
Ste 101
Pasadena, MD 21122
Phone (443) 825-4050

8055 Ritchie Hwy
Ste 101HY
Pasadena, MD 21122

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1336907740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7879 BRIGHTON CT",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226362",
            "telephone_number": "585-797-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7879 BRIGHTON CT",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226362",
            "telephone_number": "585-797-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBEL",
        "first_name": "SHANNON",
        "middle_name": "ROSE WILLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R181074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.