SHANNON HOLDER DNP, NP-C, PMHNP-BC
NPI 1477974764
Nurse Practitioner - Family in Glen Burnie, MD
About Shannon Holder Dnp, Np-c, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON HOLDER DNP, NP-C, PMHNP-BC (NPI 1477974764) is an individual family provider in Glen Burnie, Maryland, licensed in Maryland (R170448) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
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 Holder Dnp, Np-c, Pmhnp-bc 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 Holder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21239
- Reassigned Medicare billing, Maryland enrollment
- 2,602 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Maryland enrollment
- 12 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 21060 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.
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 Holder's NPI number?
The NPI number for Shannon Holder is 1477974764. It was assigned to this individual provider in the NPPES registry on January 3, 2014.
Where is Shannon Holder located?
Shannon Holder practices at 7596 Ritchie Hwy Unit 2037, Glen Burnie, MD 21060. The listed phone number is (410) 982-6682.
What is Shannon Holder's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Holder enrolled in Medicare?
Yes. Shannon Holder 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 Holder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Holder reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Baltimore, MD) and Villagehealth Dm LLC (Denver, CO). 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 Holder'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 Holder was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 Holder, DNP, NP-C, PMHNP-BC · NPI 1477974764
Family physician in Glen Burnie, Maryland. Individual provider, active in the CMS NPPES registry since January 3, 2014.
## Identity
- **NPI:** 1477974764 (Entity type: Individual)
- **Enumerated:** January 3, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R170448 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7596 RITCHIE HWY UNIT 2037, Glen Burnie, MD 21060-8883
- **Phone:** (410) 982-6682
## 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): Medstar Medical Group II LLC (NPI 1184046187, Baltimore, MD); Villagehealth Dm LLC (NPI 1598273211, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** June 3, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1477974764) · Data from the CMS NPPES public registry.