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, and ordering and referring status from the CMS PECOS system.
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.
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.
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
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** January 10, 2011
- **Other identifiers:** Medicare UPIN Q19895
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Source: [NPI Profile](https://npiprofile.com/npi/1467445924) · Data from the CMS NPPES public registry.