Individual provider Active NPI

Brittany Elizabeth Shaffer, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Oakland, MD
National Provider Identifier
1356963300
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AC003883 Issued in MD
Practice address
1027 Memorial Dr
Oakland, MD 21550-4343
Phone
(301) 533-3300
Fax
(301) 533-3299
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 106828 WV
Primary Care Nurse Practitioner 363LP2300X AC003883 MD Primary

Addresses

Primary practice location

1027 Memorial Dr
Oakland, MD 21550-4343

Mailing address

1027 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 533-3300

Other practice location 1

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

Other practice location 2

22221 Westernport Rd SW
Westernport, MD 21562-2206
Phone (240) 774-0204

Other practice location 3

104 Parkview Dr
Grantsville, MD 21536-1086
Phone (301) 895-5107

Other practice location 4

198 Morgantown St Ste 2
Bruceton Mills, WV 26525-5003
Phone (304) 379-7600

Other identifiers 2

IdentifierTypeStateIssuer
206479100MedicaidMD
1040922370001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 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
I20201005000979 WV Practitioner - Nurse Practitioner 9931528312 Reassigns benefits to 2 organizations
I20210913000853 MD Practitioner - Nurse Practitioner 9931528312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Maryland Health Care CorporationGroup PAC ID 9436152493, 29 clinicians

Practice addresses (Care Compare)

1027 Memorial Dr
Oakland, MD 21550-4343
Phone 30153333003081

198 Morgantown St
Bruceton Mills, WV 26525-5003
Phone (304) 379-7600

Hospital & facility affiliations

  • Garrett County Health Department Home health agency, Oakland, MD, CCN 217809
  • Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
  • Preston Memorial Hospital Hospital, Kingwood, WV, CCN 511312
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Maryland Health Care Corporation CurrentSince Dec 5, 2022 Accepting new patients
Bruceton Family Medicine LLC Current Accepting new patients
Western Maryland Health Care Corporation CurrentSince Aug 15, 2023 Accepting new patients
Western Maryland Health Care Corporation CurrentSince Dec 5, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Western Maryland Health Care Corporation Past Accepting new patients

Locations

104 Parkview Dr
Grantsville, MD 21536
Phone (301) 895-5107

28 Hershberger Ln
Grantsville, MD 21536
Phone (301) 895-5107

1027 Memorial Dr
Oakland, MD 21550
Phone (301) 533-3300

22221 Westernport Rd SW
Westernport, MD 21562
Phone (240) 774-0204

198 Morgantown St
Ste 2
Bruceton Mls, WV 26525
Phone (304) 379-7600

Interoperability endpoints

  • Direct secure messaging: brittany.shaffer.1@28818.direct.athenahealth.com

Organizations & group practices 7

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 4

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": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1356963300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "833-448-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "265371141",
            "country_code": "US",
            "telephone_number": "304-329-1400",
            "fax_number": "304-329-0160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22221 Westernport Rd SW",
            "address_purpose": "LOCATION",
            "city": "Westernport",
            "state": "MD",
            "postal_code": "215622206",
            "country_code": "US",
            "telephone_number": "240-774-0204",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Parkview Dr",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "MD",
            "postal_code": "215361086",
            "country_code": "US",
            "telephone_number": "301-895-5107",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "198 Morgantown St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bruceton Mills",
            "state": "WV",
            "postal_code": "265255003",
            "country_code": "US",
            "telephone_number": "304-379-7600",
            "fax_number": "833-448-0358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "BRITTANY",
        "middle_name": "ELIZABETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WV",
            "license": "106828",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "AC003883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206479100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1040922370001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.