Individual provider Active NPI

Shela Towanna Mainor, PA-C

  • Medical Physician Assistant
  • Rockville, MD
National Provider Identifier
1437522638
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C06005 Issued in MD
Practice address
750 Rockville Pike
Rockville, MD 20852-1133
Phone
(301) 424-0658
NPI assigned
Nov 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9109488 FL
Medical Physician Assistant 363AM0700X C06005 MD Primary

Addresses

Primary practice location

750 Rockville Pike
Rockville, MD 20852-1133

Mailing address

10213 Washingtonian Blvd Apt 574
Gaithersburg, MD 20878-8336
Phone (912) 248-2346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160520000444 MD Practitioner - Physician Assistant 8325337967 Reassigns benefits to 2 organizations
I20161010002051 FL Practitioner - Physician Assistant 8325337967 Reassigns benefits to 1 organization
I20190408001391 DC Practitioner - Physician Assistant 8325337967 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

14421 Baltimore Ave
Laurel, MD 20707-4949
Phone (240) 786-6684

750 Rockville Pike
Rockville, MD 20852-1133
Phone (301) 424-0658

Merit-based Incentive Payment System (MIPS)

Final score
53.05 of 100Reported as group
Quality
49.52
Promoting interoperability
0
Improvement activities
40
Cost
77.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109488FLMDMedical Physician Assistant
C06005MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CRH MD Management LLC CurrentSince Jan 8, 2024 Accepting new patients
MNR Industries, LLC CurrentSince Apr 19, 2022 Accepting new patients
MNR Industries, LLC CurrentSince Apr 19, 2022 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Apr 19, 2022 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

750 Rockville Pike
Rockville, MD 20852
Phone (301) 424-0658

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1437522638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10213 WASHINGTONIAN BLVD APT 574",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208788336",
            "telephone_number": "912-248-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ROCKVILLE PIKE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521133",
            "telephone_number": "301-424-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINOR",
        "first_name": "SHELA",
        "middle_name": "TOWANNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109488",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C06005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.