DR. SHANNON KELSO DNP, CRNP-PMH, PMHNP
NPI 1346893914
Nurse Practitioner - Psychiatric/Mental Health in Towson, MD
About Dr. Shannon Kelso Dnp, Crnp-pmh, Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON KELSO DNP, CRNP-PMH, PMHNP (NPI 1346893914) is an individual psychiatric/mental health provider in Towson, Maryland, licensed in Maryland (R207920) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Towson, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shannon Kelso Dnp, Crnp-pmh, Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Kelso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Towson, MD 21204
- Reassigned Medicare billing, Maryland enrollment
- 20 clinicians in this Medicare group
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 21204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOWSON, MD 21204
TOWSON, MD 21204
TOWSON, MD 21204
TOWSON, MD 21204
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 Kelso's NPI number?
The NPI number for Shannon Kelso is 1346893914. It was assigned to this individual provider in the NPPES registry on July 22, 2019.
Where is Shannon Kelso located?
Shannon Kelso practices at 658 Kenilworth Dr Ste 206, Towson, MD 21204. The listed phone number is (443) 841-7550.
What is Shannon Kelso's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Shannon Kelso enrolled in Medicare?
Yes. Shannon Kelso 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.
Which organization bills Medicare for Shannon Kelso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Kelso reassigns Medicare benefits to Psychnp Wellness Center, LLC (Towson, 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 Kelso'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 Kelso was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Shannon Kelso, DNP, CRNP-PMH, PMHNP · NPI 1346893914
Psychiatric/Mental Health physician in Towson, Maryland. Individual provider, active in the CMS NPPES registry since July 22, 2019.
## Identity
- **NPI:** 1346893914 (Entity type: Individual)
- **Enumerated:** July 22, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R207920 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 658 KENILWORTH DR STE 206, Towson, MD 21204-2334
- **Phone:** (443) 841-7550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Psychnp Wellness Center, LLC (NPI 1184042004, Towson, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1346893914) · Data from the CMS NPPES public registry.