Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANNON OLEXA-FOWLER CRNP
NPI 1336057595
Nurse Practitioner - Adult Health in Annapolis, MD

Q: What is Shannon Olexa-fowler's NPI number?

The NPI number for Shannon Olexa-fowler is 1336057595. It was assigned to this individual provider in the NPPES registry on August 31, 2026.

Q: What is Shannon Olexa-fowler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since August 31, 2026PECOS Enrolled

600 RIDGELY AVE STE 222, ANNAPOLIS, MD 21401(410) 266-8049 Get Directions Write a Review

NPPES record added: September 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 26, 2026, Aug 31, 2026 (2 updates tracked since 2026).

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About Shannon Olexa-fowler Crnp NPPES

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

SHANNON OLEXA-FOWLER CRNP (NPI 1336057595) is an individual adult health provider in Annapolis, Maryland, licensed in Maryland (R239349) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336057595

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHANNON OLEXA-FOWLERCredential: CRNP

Location Address600 RIDGELY AVE STE 222Annapolis, MD 21401-1073

Mailing Address15 Overlook DrPrince Frederick, MD 20678-4308 · (410) 266-8049 · Fax (410) 266-8054

Phone(410) 266-8049

Sole ProprietorYes

Enumeration DateAugust 31, 2026

Last NPPES UpdateSeptember 26, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2026

✔ NPI 1336057595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MD · R239349

600 RIDGELY AVE STE 222, Annapolis, MD 21401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Olexa-fowler Crnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

Other Providers at the Same Location NPPES 7

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

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