SHANNA DANIELLE RAPHAEL PA
NPI 1336704675
Physician Assistant in Baltimore, MD

Active since May 02, 2019PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239(443) 834-4351 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2020, Aug 17, 2020, May 2, 2019 (3 updates tracked since 2019).

About Shanna Danielle Raphael Pa NPPES

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

SHANNA DANIELLE RAPHAEL PA (NPI 1336704675) is an individual physician assistant in Baltimore, Maryland and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Medstar Good Samaritan Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336704675
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNA DANIELLE RAPHAELCredential: PA
Location Address5601 LOCH RAVEN BLVDBaltimore, MD 21239-2945
Mailing Address2079 Misty Meadow RdFinksburg, MD 21048-1742
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 2, 2019
Last NPPES UpdateSeptember 28, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
NPI 1336704675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
5601 LOCH RAVEN BLVD, Baltimore, MD 21239

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

Shanna Danielle Raphael Pa 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 ID9335569656
PECOS Enrollment IDI20201026001187
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services22 patients

Hospital Affiliations CMS Care Compare

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

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210056
Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21239 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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Physician Assistant
5601 LOCH RAVEN BLVD, BALTIMORE
BALTIMORE, MD 21239
Anesthesiology
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Internal Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Internal Medicine (Geriatric Medicine)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Nurse Practitioner
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Psychiatry & Neurology (Psychiatry)
5601 LOCH RAVEN BLVD, RMB 406
BALTIMORE, MD 21239
Emergency Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Registered Nurse (Gerontology)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

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 Shanna Raphael's NPI number?

The NPI number for Shanna Raphael is 1336704675. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Shanna Raphael located?

Shanna Raphael practices at 5601 Loch Raven Blvd, Baltimore, MD 21239. The listed phone number is (443) 834-4351.

What is Shanna Raphael's specialty?

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

Is Shanna Raphael enrolled in Medicare?

Yes. Shanna Raphael 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.

Is Shanna Raphael affiliated with any hospitals?

According to CMS data, Shanna Raphael is affiliated with Medstar Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Shanna Raphael was last updated on September 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.