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DR. SHANNON GEHNAI BOLDEN DNP, WHNP-BC
NPI 1326480039
Nurse Practitioner - Women's Health in College Park, MD

Active since July 23, 2013PECOS Enrolled
9308 CHERRY HILL RD APT 220, COLLEGE PARK, MD 20740(410) 409-8206 Get Directions Write a Review

NPPES record last updated: April 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2024, Aug 7, 2017, Jul 31, 2017 (3 updates tracked since 2017).

About Dr. Shannon Gehnai Bolden Dnp, Whnp-bc NPPES

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

DR. SHANNON GEHNAI BOLDEN DNP, WHNP-BC (NPI 1326480039) is an individual women's health provider in College Park, Maryland, licensed in Maryland (R178324) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326480039
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameDR. SHANNON GEHNAI BOLDENCredential: DNP, WHNP-BC
Location Address9308 CHERRY HILL RD APT 220College Park, MD 20740-1233
Mailing Address9308 Cherry Hill Rd Apt 220College Park, MD 20740-1233 · (410) 369-8994
Phone(410) 409-8206
Sole ProprietorNo
Enumeration DateJuly 23, 2013
Last NPPES UpdateApril 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1326480039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in MD · R178324
Also ListedRegistered NurseTaxonomy 163W00000X · License R178324 (MD)
9308 CHERRY HILL RD APT 220, College Park, MD 20740
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Gehnai Bolden Dnp, Whnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Bolden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary's Center For Maternal And Child Care, Inc.
2.2 mi
Federally Qualified Health Center (FQHC)
8908 RIGGS RD
Hyattsville, MD 20783
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Marys Center For Maternal And Child Care Inc
  • 175 clinicians in this Medicare group
NPI 1194077297 (202) 483-8196

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20740 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Bolden's NPI number?

The NPI number for Shannon Bolden is 1326480039. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Where is Shannon Bolden located?

Shannon Bolden practices at 9308 Cherry Hill Rd Apt 220, College Park, MD 20740. The listed phone number is (410) 409-8206.

What is Shannon Bolden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Shannon Bolden enrolled in Medicare?

Yes. Shannon Bolden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Bolden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Bolden reassigns Medicare benefits to Mary's Center For Maternal And Child Care, Inc. (Hyattsville, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Bolden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Bolden was last updated on April 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.