Individual provider Active NPI

Mandy Shaw, FNP

  • Family Nurse Practitioner
  • Olney, MD
National Provider Identifier
1588181630
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN235800 Issued in MD
Practice address
3110 Olney Sandy Spring Rd
Olney, MD 20832-1408
Phone
(301) 774-6155
NPI assigned
Aug 29, 2017
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2278133 MA
Family Nurse Practitioner 363LF0000X RN235800 MD Primary

Addresses

Primary practice location

3110 Olney Sandy Spring Rd
Olney, MD 20832-1408

Mailing address

3110 Olney Sandy Spring Rd
Olney, MD 20832-1408
Phone (301) 774-6155

Other practice location 1

49 Harry Kemp Way
Provincetown, MA 02657-1618
Phone (508) 487-9395

Other practice location 2

3130 State Hwy Rte 6
Wellfleet, MA 02667-7402
Phone (508) 349-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, 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
I20190801000588 DC Practitioner - Nurse Practitioner 5890053052 Reassigns benefits to 3 organizations
I20190801002119 MD Practitioner - Nurse Practitioner 5890053052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consonant Healing Medical AssociatesGroup PAC ID 1254662695, 103 clinicians

Practice addresses (Care Compare)

901 1St St NW
Washington, DC 20001-1403
Phone (443) 383-9300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2278133MAMDFamily Nurse Practitioner
RN235800MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Jun 1, 2025 Accepting new patients
Consonant Healing Medical Associates CurrentSince Feb 22, 2024 Accepting new patients
True North Health Navigation LLC CurrentSince Dec 22, 2021 Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients
True North Health Navigation LLC PastSince Dec 22, 2021 Accepting new patients

Locations

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

1380 Southern Ave SE
Washington, DC 20032
Phone (202) 279-5880

609 H St NE
Fl 4
Washington, DC 20002
Phone (202) 765-3193

901 1st St NW
Washington, DC 20001
Phone (202) 282-3005

10440 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (240) 203-4457

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

8000 Westpark Dr
Ste 130
Mc Lean, VA 22102
Phone (702) 848-4443

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1588181630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 OLNEY SANDY SPRING RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321408",
            "telephone_number": "301-774-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 OLNEY SANDY SPRING RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321408",
            "telephone_number": "301-774-6155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Harry Kemp Way",
            "address_purpose": "LOCATION",
            "city": "Provincetown",
            "state": "MA",
            "postal_code": "026571618",
            "country_code": "US",
            "telephone_number": "508-487-9395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 State Hwy Rte 6",
            "address_purpose": "LOCATION",
            "city": "Wellfleet",
            "state": "MA",
            "postal_code": "026677402",
            "country_code": "US",
            "telephone_number": "508-349-3131",
            "fax_number": "508-349-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MANDY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2278133",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "RN235800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.