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SHANE CREAN
NPI 1356095574
General Practice in Patuxent River, MD

Active since February 07, 2022PECOS Enrolled
47149 BUSE RD, PATUXENT RIVER, MD 20670(301) 342-1418 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Jun 27, 2024, Feb 7, 2022 (3 updates tracked since 2022).

About Shane Crean NPPES

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

SHANE CREAN (NPI 1356095574) is an individual general practice provider in Patuxent River, Maryland, licensed in Virginia (0102208199) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356095574
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSHANE CREAN
Location Address47149 BUSE RDPatuxent River, MD 20670-1540
Mailing Address47149 Buse RdPatuxent River, MD 20670-1540
Phone(301) 342-1418
Sole ProprietorNo
Enumeration DateFebruary 7, 2022
Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1356095574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0102208199
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 0102208199 (VA)
47149 BUSE RD, Patuxent River, MD 20670
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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)

Shane Crean 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.

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.

MS. EJIROGHENE ONOS MD
Family Medicine
47149 BUSE RD, BLDG 1370
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-1506
DR. JOHN CHRISTIE M.D.
Preventive Medicine (Occupational Medicine)
47149 BUSE RD, BLDG 1370
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-9503
DR. MICHAEL W. WENTWORTH
Family Medicine
47149 BUSE RD, BLDG 1370
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-9503
MONIKA TURNER PHARMD
Pharmacist
47149 BUSE RD
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-4045
MR. KIRTNEY SO LIM IDC
Military Health Care Provider (Independent Duty Corpsman)
47149 BUSE RD
PATUXENT RIVER, MD 20670
St. Mary's County (619) 642-4871
DR. ALLEN GROVE PH.D.
Psychologist (Clinical)
47149 BUSE RD
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-7628
MS. MARY BETH VOORHEES LCSW-C
Social Worker (Clinical)
47149 BUSE RD, BLDG 1370
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-9503
VALERIE J. RIEGE
Pharmacist (Pharmacotherapy)
47149 BUSE RD, BLDG 1370
PATUXENT RIVER, MD 20670
St. Mary's County (301) 342-9503

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 Shane Crean's NPI number?

The NPI number for Shane Crean is 1356095574. It was assigned to this individual provider in the NPPES registry on February 7, 2022.

Where is Shane Crean located?

Shane Crean practices at 47149 Buse Rd, Patuxent River, MD 20670. The listed phone number is (301) 342-1418.

What is Shane Crean's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Shane Crean enrolled in Medicare?

Yes. Shane Crean is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Crean was last updated on July 15, 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.