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MRS. SHANNON NICOLE MARTIN FNP-C
NPI 1417322926
Nurse Practitioner - Family in Glen Burnie, MD

Active since December 09, 2015PECOS EnrolledAccepts Medicare Assignment
1406B CRAIN HWY S STE 304, GLEN BURNIE, MD 21061(301) 804-0344 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2022, Dec 9, 2015 (2 updates tracked since 2015).

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

NPI1417322926
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANNON NICOLE MARTINCredential: FNP-C
Location Address1406B CRAIN HWY S STE 304Glen Burnie, MD 21061-4094
Mailing Address1406b Crain Hwy S Ste 304Glen Burnie, MD 21061-4094 · (301) 804-0344
Phone(301) 804-0344
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 9, 2015
Last NPPES UpdateDecember 19, 20222 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1417322926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R182264
1406B CRAIN HWY S STE 304, Glen Burnie, MD 21061
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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 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.

PECOS PAC ID2466758966
PECOS Enrollment IDI20160309001832, I20181203000227
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
271 services38 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
93 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services16 patients

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.

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.

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.

NEW CHANGES LLC
Nurse Practitioner (Psychiatric/Mental Health)
1406B CRAIN HWY S STE 304
GLEN BURNIE, MD 21061
Anne Arundel County (301) 804-0344
HEALTH RELEAF LLC
Clinic/Center (Primary Care)
1406B CRAIN HWY S STE 304
GLEN BURNIE, MD 21061
Anne Arundel County (301) 804-0322
NEW CHANGES LLC
Nurse Practitioner (Family)
1406B CRAIN HWY S STE 304
GLEN BURNIE, MD 21061
Anne Arundel County (301) 804-0344
HEALTH RELEAF LLC
Nurse Practitioner (Psychiatric/Mental Health)
1406B CRAIN HWY S STE 304
GLEN BURNIE, MD 21061
Anne Arundel County (301) 804-0344

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.

When was this NPI record last updated?

The NPPES record for Shannon Martin was last updated on December 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.