SHANNON SPRENKLE CRNP
NPI 1013384072
Nurse Practitioner in Cumberland, MD

Q: What is Shannon Sprenkle's NPI number?

The NPI number for Shannon Sprenkle is 1013384072. It was assigned to this individual provider in the NPPES registry on August 26, 2015.

Q: What is Shannon Sprenkle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Sprenkle was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 26, 2015PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

12502 WILLOWBROOK RD, SUITE 280, CUMBERLAND, MD 21502(240) 964-8750(240) 964-8699 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Sprenkle Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON SPRENKLE CRNP (NPI 1013384072) is an individual nurse practitioner in Cumberland, Maryland, licensed in Maryland (R193935) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013384072

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANNON SPRENKLECredential: CRNP

Location Address12502 WILLOWBROOK RD, SUITE 280Cumberland, MD 21502-6491

Mailing Address12502 Willowbrook Rd, Suite 280Cumberland, MD 21502-6491 · (240) 964-8750 · Fax (240) 964-8699

Phone(240) 964-8750

Fax(240) 964-8699

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 26, 2015

Last NPPES UpdateDecember 8, 2015

✔ NPI 1013384072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MD · R193935

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

12502 WILLOWBROOK RD, Cumberland, MD 21502

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Sprenkle Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638488547

PECOS Enrollment IDI20151015001537

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

105 services67 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

65 services44 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210017

Location251 North Fourth StreetOakland, MD 21550 · Garrett County

Emergency services Birthing friendly

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210027

Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County

Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511315

Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

7 suppliers20 claims20 services$38.26 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

4 suppliers22 claims39 services$1.61 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

10 suppliers198 claims198 services$91.58 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers238 claims407 services$34.87 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers104 claims319 services$19.60 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers18 claims45 services$16.40 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers96 claims96 services$58.08 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

9 suppliers186 claims186 services$19.07 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

9 suppliers278 claims278 services$15.98 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers449 claims1,487 services$2.23 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

9 suppliers49 claims49 services$6.10 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers112 claims112 services$11.66 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers135 claims147 services$16.97 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers23 claims23 services$828.92 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers45 claims45 services$81.28 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

3 suppliers17 claims17 services$247.26 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

7 suppliers29 claims29 services$146.28 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers81 claims81 services$12.98 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

7 suppliers88 claims88 services$6.27 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

9 suppliers311 claims311 services$39.49 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers196 claims208 services$93.62 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers36 claims36 services$33.70 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

9 suppliers51 claims12,784 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

8 suppliers14 claims2,160 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

12 suppliers56 claims56 services$24.17 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK F. WILT P. A.

Physician Assistant

12502 WILLOWBROOK RD, SUITE 470
CUMBERLAND, MD 21502

Allegany County (240) 964-8724

KRISTEN DAWN EWING PA-C

Physician Assistant (Medical)

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-8740

JACOB MULLAN FNP

Nurse Practitioner

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-8944

WESTERN MARYLAND HEALTH SYSTEM CORPORATION

Dietitian, Registered

12502 WILLOWBROOK RD, SUITE 300
CUMBERLAND, MD 21502

Allegany County (240) 964-8342

CARMEN RACHAL REGISTERED DIETITIAN

Dietitian, Registered

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-2310

EMILY TEETS NP

Nurse Practitioner

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-7000

JEAN H RUIZ NP

Nurse Practitioner (Psychiatric/Mental Health)

12502 WILLOWBROOK RD, STE 380
CUMBERLAND, MD 21502

Allegany County (240) 964-8585

MISS JENNIFER ANN PERRIN R.D.

Dietitian, Registered

12502 WILLOWBROOK RD
CUMBERLAND, MD 21502

Allegany County (240) 964-8787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Sprenkle's NPI number?

The NPI number for Shannon Sprenkle is 1013384072. It was assigned to this individual provider in the NPPES registry on August 26, 2015.

Where is Shannon Sprenkle located?

Shannon Sprenkle practices at 12502 Willowbrook Rd Suite 280, Cumberland, MD 21502. The listed phone number is (240) 964-8750.

What is Shannon Sprenkle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Sprenkle enrolled in Medicare?

Yes. Shannon Sprenkle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Sprenkle accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Shannon Sprenkle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shannon Sprenkle affiliated with any hospitals?

According to CMS data, Shannon Sprenkle is affiliated with Garrett Regional Medical Center, Western Maryland Regional Medical Center and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Sprenkle was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.