DR. SHANNON KELSO DNP, CRNP-PMH, PMHNP
NPI 1346893914
Nurse Practitioner - Psychiatric/Mental Health in Towson, MD

Active since July 22, 2019PECOS EnrolledAccepts Medicare Assignment
658 KENILWORTH DR STE 206, TOWSON, MD 21204(443) 841-7550 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2021, Jul 22, 2019 (2 updates tracked since 2019).

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

NPI1346893914
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. SHANNON KELSOCredential: DNP, CRNP-PMH, PMHNP
Location Address658 KENILWORTH DR STE 206Towson, MD 21204-2334
Mailing Address658 Kenilworth Dr Ste 206Towson, MD 21204-2334 · (443) 841-7550
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 22, 2019
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
NPI 1346893914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R207920
658 KENILWORTH DR STE 206, Towson, MD 21204

Secondary Practice Location 1

Location 11122 Kenilworth Dr Ste 105Towson, MD 21204-2141 · Phone (443) 841-7785 ext. 4521

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

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.

PECOS PAC ID1456787423
PECOS Enrollment IDI20200211001459
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 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.

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.

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

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%196 patients
Documentation of Current Medications in the Medical Record
55%2,382 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
4%203 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 28% · 454 patients
Patients screened: 31% · 454 patients
41%22 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Psychiatric/Mental Health)
658 KENILWORTH DR STE 206
TOWSON, MD 21204
Acupuncturist
658 KENILWORTH DR STE 206
BALTIMORE, MD 21204
Nurse Practitioner (Psychiatric/Mental Health)
658 KENILWORTH DR STE 206
TOWSON, MD 21204
Massage Therapist
658 KENILWORTH DR STE 206
BALTIMORE, MD 21204
Acupuncturist
658 KENILWORTH DR STE 206
BALTIMORE, MD 21204
Nurse Practitioner (Psychiatric/Mental Health)
658 KENILWORTH DR STE 206
TOWSON, MD 21204
Massage Therapist
658 KENILWORTH DR STE 206
BALTIMORE, MD 21204
Nurse Practitioner (Psychiatric/Mental Health)
658 KENILWORTH DR STE 206
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.

When was this NPI record last updated?

The NPPES record for Shannon Kelso was last updated on January 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.