Shannon Nicole Martin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R214768 Issued in MD

Practice address

924 Seton Dr # C
Cumberland, MD 21502-1851

Phone

(301) 797-7600

NPI assigned

Oct 21, 2020

Last updated

Oct 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Solace Family HealthcareGroup PAC ID 8123424348, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027

Merit-based Incentive Payment System (MIPS)

Final score

36.33 of 100Reported as group

Quality

20

Improvement activities

0

Cost

77.77

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Solace Family Healthcare

  • Family Medicine Physician
  • Cumberland, MD
  • NPI 1902579477
  Medicare reassignment Care Compare group NPD
• Mir Neurology Center PA

  • Neurology Physician
  • Hagerstown, MD
  • NPI 1518905439
  Medicare reassignment NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Western Maryland Corporation

  dba Upmc Western Maryland Center for Hope and Healing

  • Mental Illness Community Based Residential Treatment Facility
  • Cumberland, MD
  • NPI 1174141592

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • General Acute Care Hospital
  • Cumberland, MD
  • NPI 1609831247
  Care Compare affiliation
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • Hearing and Speech Clinic/Center
  • Cumberland, MD
  • NPI 1740969245

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • Clinic/Center
  • Cumberland, MD
  • NPI 1780251850

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1962001818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BLACKISTON AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024304",
            "telephone_number": "301-268-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 SETON DR # C",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021851",
            "telephone_number": "301-797-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R214768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Paige Marsh, NP
• Andrea L Marshall, PA-C
• David Anthony Marshall, D.O.
• Jeffrey Shay Martin
• Robert Jay Martin, R.PH.
• Martinsburg Vamc
• Mary Anne Jenkins DDS Ms LLC
• Maryland Sportscare & Rehab LLC (Pivot Physical Therapy of Maryland)
• Maryland Wellness LLC
• Maryland Wellness LLC

• Family Nurse Practitioner in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.

Verify at the official NPI Registry.