MS. SHANNON LYNN WATTS PA-C
NPI 1023678620
Physician Assistant in Randallstown, MD

Q: What is Shannon Watts's NPI number?

The NPI number for Shannon Watts is 1023678620. It was assigned to this individual provider in the NPPES registry on June 17, 2019. The provider is also known as Shannon Lynn Wood.

Q: What is Shannon Watts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Watts was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 17, 2019PECOS EnrolledAccepts Medicare Assignment

84.89/100

CMS Quality Rating

5401 OLD COURT RD, RANDALLSTOWN, MD 21133(410) 521-2200 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Shannon Lynn Watts Pa-c NPPES

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

MS. SHANNON LYNN WATTS PA-C (NPI 1023678620) is an individual physician assistant in Randallstown, Maryland, licensed in Maryland (C0007101) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Northwest Hospital Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023678620

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. SHANNON LYNN WATTSCredential: PA-C

Location Address5401 OLD COURT RDRandallstown, MD 21133-5103

Mailing Address1464 Rockridge RdJarrettsville, MD 21084-1302 · (443) 981-9539

Phone(410) 521-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 17, 2019

✔ NPI 1023678620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MD · C0007101

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License C0007101 (MD)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License C0007101 (MD)

5401 OLD COURT RD, Randallstown, MD 21133

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Other Names 1

Former Name (1)Shannon Lynn Wood

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

Ms. Shannon Lynn Watts Pa-c 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 ID446684260

PECOS Enrollment IDI20200102000656

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.

Hospital Affiliations CMS Care Compare

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

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210040

Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21133 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

Most-billed visit code 99213

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.

84.89/100

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

Scored as part of a group practice

Quality

61.57

Promoting Interoperability

100

Improvement Activities

Cost

54.73

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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.

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