Active NPI
Chelsea Shoaf, CRNP
- Family Nurse Practitioner
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R200708
- Practice address
- 334 Mill St
Hagerstown, MD 21740-6138 - Phone
- (301) 393-9170
- NPI assigned
- Sep 26, 2018
- Last updated
- Oct 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R200708 | MD | Primary |
Addresses
Primary practice location
334 Mill St
Hagerstown, MD 21740-6138
Mailing address
334 Mill St
Hagerstown, MD 21740-6138
Phone (301) 393-9170
Other practice location 1
20306 Barbara Dr
Hagerstown, MD 21742-4404
Phone (301) 988-6407
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
130 W High St
Hancock, MD 21750-1143
Phone (301) 678-7256
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Community Health Center, Inc | Current | Accepting new patients | |
| Tri-State Community Health Center, Inc | Current | Accepting new patients | |
| Pediatric TLC, Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
109 Rayloc Dr
Hancock, MD 21750
Phone (301) 678-5187
130 W High St
Hancock, MD 21750
Phone (301) 678-7256
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Hancock, MD
- NPI 1366491201
-
- Federally Qualified Health Center (FQHC)
- Berkeley Springs, WV
- NPI 1083055081
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Pediatric Adolescent Medicine Physician
- Hagerstown, MD
- NPI 1225573413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- McConnellsburg, PA
- NPI 1326044694
-
- Critical Access Hospital
- Berkeley Springs, WV
- NPI 1467450353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540598400000",
"number": "1639654544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 MILL ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406138",
"telephone_number": "301-393-9170",
"fax_number": "301-393-9173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 MILL ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406138",
"telephone_number": "301-393-9170"
}
],
"practiceLocations": [
{
"address_1": "20306 Barbara Dr",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217424404",
"country_code": "US",
"telephone_number": "301-988-6407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOAF",
"first_name": "CHELSEA",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R200708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.