SHANNON D CARLISLE
NPI 1538933221
Nurse Practitioner - Family in Laurel, MD
About Shannon D Carlisle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON D CARLISLE (NPI 1538933221) is an individual family provider in Laurel, Maryland, licensed in Maryland (R217859) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
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
Shannon D Carlisle 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 Reassignment
Medicare enrollment records show Shannon Carlisle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fulton, MD 20759
- Reassigned Medicare billing, Maryland enrollment
- 7 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20707 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carlisle's NPI number?
The NPI number for Shannon Carlisle is 1538933221. It was assigned to this individual provider in the NPPES registry on November 13, 2023.
Where is Shannon Carlisle located?
Shannon Carlisle practices at 372 Main Street, Laurel, MD 20707. The listed phone number is (240) 294-4079.
What is Shannon Carlisle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Carlisle enrolled in Medicare?
Yes. Shannon Carlisle 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 organization bills Medicare for Shannon Carlisle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Carlisle reassigns Medicare benefits to Center For Brain And Neurocare LLC (Fulton, MD). The 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 Carlisle'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 Carlisle was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 D Carlisle · NPI 1538933221
Family physician in Laurel, Maryland. Individual provider, active in the CMS NPPES registry since November 13, 2023.
## Identity
- **NPI:** 1538933221 (Entity type: Individual)
- **Enumerated:** November 13, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R217859 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 372 MAIN STREET, Laurel, MD 20707
- **Phone:** (240) 294-4079
## 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:** Center For Brain And Neurocare LLC (NPI 1013392687, Fulton, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1538933221) · Data from the CMS NPPES public registry.