SHANNON K IDZIK CRNP
NPI 1467445924
Nurse Practitioner - Primary Care in Baltimore, MD
About Shannon K Idzik Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON K IDZIK CRNP (NPI 1467445924) is an individual primary care provider in Baltimore, Maryland, licensed in Maryland (R131534) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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
Shannon K Idzik Crnp 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 Idzik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: University Of Maryland Anesthesiology Associates PA
- 303 clinicians in this Medicare group
Bel Air, MD 21014
- Reassigned Medicare billing, Maryland enrollment
- 39 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.
Areas of Expertise CMS Part B claims
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 21201 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.
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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Idzik's NPI number?
The NPI number for Shannon Idzik is 1467445924. It was assigned to this individual provider in the NPPES registry on August 30, 2005. The provider is also known as Shannon K Reedy Crnp.
Where is Shannon Idzik located?
Shannon Idzik practices at 655 W Lombard St 345, Baltimore, MD 21201. The listed phone number is (410) 706-8129.
What is Shannon Idzik's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Shannon Idzik enrolled in Medicare?
Yes. Shannon Idzik 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 Idzik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Idzik reassigns Medicare benefits to 2 organizations: University Of Maryland Anesthesiology Associates P.A. (Baltimore, MD) and Upper Chesapeake Primary Care,llc (Bel Air, 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 Idzik'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 Idzik was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Shannon K Idzik, CRNP · NPI 1467445924
Primary Care physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since August 30, 2005.
## Identity
- **NPI:** 1467445924 (Entity type: Individual)
- **Enumerated:** August 30, 2005
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** R131534 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 655 W LOMBARD ST, 345, Baltimore, MD 21201-1512
- **Phone:** (410) 706-8129 · **Fax:** (410) 706-0344
## 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): University Of Maryland Anesthesiology Associates P.A. (NPI 1033915145, Baltimore, MD); Upper Chesapeake Primary Care,llc (NPI 1093902793, Bel Air, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** January 10, 2011
- **Other identifiers:** Medicare UPIN Q19895
---
Source: [NPI Profile](https://npiprofile.com/npi/1467445924) · Data from the CMS NPPES public registry.