Individual provider Active NPI

Shaunna Sheree Dolby, FNP

  • Family Medicine Physician
  • Camp Springs, MD
National Provider Identifier
1861968562
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R190159 Issued in MD
Practice address
5801 Allentown Rd Ste 502
Camp Springs, MD 20746-4653
Phone
(240) 427-1630
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R190159 MD Primary
Nurse Practitioner 363L00000X R190159 MD

Addresses

Primary practice location

5801 Allentown Rd Ste 502
Camp Springs, MD 20746-4653

Mailing address

5801 Allentown Rd Ste 502
Camp Springs, MD 20746-4653
Phone (240) 427-1630

Other names 1

  • Shaunna Sheree Dolby Other name

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
I20190516001344 DC Practitioner - Nurse Practitioner 7416290317 Reassigns benefits to 2 organizations
I20190724000715 MD Practitioner - Nurse Practitioner 7416290317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950

4225 Altamont PL
White Plains, MD 20695-3063
Phone (301) 870-9900

Hospital & facility affiliations

  • Homecall Home health agency, Easton, MD, CCN 217066
  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Aug 1, 2020 Accepting new patients
Surgical Associates LLC CurrentSince Apr 6, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

5801 Allentown Rd
Suitland, MD 20746
Phone (301) 868-8485

5801 Allentown Rd
Ste 502
Suitland, MD 20746
Phone (240) 244-5151

12070 Old Line Ctr
Ste 207
Waldorf, MD 20602
Phone (301) 567-5005

11370 Pembrooke Sq
Waldorf, MD 20603
Phone (301) 396-8492

4225 Altamont Pl
White Plains, MD 20695
Phone (301) 374-9591

4225 Altamont Pl
Ste 102
White Plains, MD 20695
Phone (301) 870-9900

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 2

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": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1861968562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 502",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464653",
            "telephone_number": "240-427-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 502",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464653",
            "telephone_number": "240-427-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLBY",
        "first_name": "SHAUNNA",
        "middle_name": "SHEREE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R190159",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R190159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAUNNA",
            "last_name": "DOLBY",
            "middle_name": "SHEREE",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camp Springs, MD

Sources for this page

Verify at the official NPI Registry.