MRS. SHANNON NICOLE MARTIN FNP-C
NPI 1417322926
Nurse Practitioner - Family in Glen Burnie, MD
About Mrs. Shannon Nicole Martin Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANNON NICOLE MARTIN FNP-C (NPI 1417322926) is an individual family provider in Glen Burnie, Maryland, licensed in Maryland (R182264) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Shannon Nicole Martin Fnp-c 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 Reassignments
2Medicare enrollment records show Shannon Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glen Burnie, MD 21061
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
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 Martin's NPI number?
The NPI number for Shannon Martin is 1417322926. It was assigned to this individual provider in the NPPES registry on December 9, 2015.
Where is Shannon Martin located?
Shannon Martin practices at 1406B Crain Hwy S Ste 304, Glen Burnie, MD 21061. The listed phone number is (301) 804-0344.
What is Shannon Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Martin enrolled in Medicare?
Yes. Shannon Martin 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 organizations bill Medicare for Shannon Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Martin reassigns Medicare benefits to 2 organizations: Health Releaf LLC (Glen Burnie, MD) and New Changes LLC (Glen Burnie, MD). Each 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 Martin'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 Martin was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Shannon Nicole Martin, FNP-C · NPI 1417322926
Family physician in Glen Burnie, Maryland. Individual provider, active in the CMS NPPES registry since December 9, 2015.
## Identity
- **NPI:** 1417322926 (Entity type: Individual)
- **Enumerated:** December 9, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R182264 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1406B CRAIN HWY S STE 304, Glen Burnie, MD 21061-4094
- **Phone:** (301) 804-0344
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Health Releaf LLC (NPI 1235616475, Glen Burnie, MD); New Changes LLC (NPI 1508708652, Glen Burnie, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417322926) · Data from the CMS NPPES public registry.