MICHELLE SHANNON CRNP
NPI 1558909176
Nurse Practitioner - Critical Care Medicine in Salisbury, MD
About Michelle Shannon Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE SHANNON CRNP (NPI 1558909176) is an individual critical care medicine provider in Salisbury, Maryland, licensed in Maryland (R169142) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and maintains a secondary practice location in Glen Burnie.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Michelle Shannon 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 Michelle Shannon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 531 clinicians in this Medicare group
La Plata, MD 20646
- Reassigned Medicare billing, Maryland enrollment
- 966 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of MD Baltimore Washington Medical Center
Acute Care Hospitals · Glen Burnie, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21801 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALISBURY, MD 21801
SALISBURY, MD 21801
SALISBURY, MD 21801
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 Michelle Shannon's NPI number?
The NPI number for Michelle Shannon is 1558909176. It was assigned to this individual provider in the NPPES registry on December 13, 2019.
Where is Michelle Shannon located?
Michelle Shannon practices at 100 E Carroll St, Salisbury, MD 21801. The listed phone number is (410) 543-7536.
What is Michelle Shannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.
Is Michelle Shannon enrolled in Medicare?
Yes. Michelle Shannon 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 Michelle Shannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Shannon reassigns Medicare benefits to 2 organizations: Tidalhealth Specialty Care, LLC (Salisbury, MD) and University Of Maryland Community Medical Group, Inc. (La Plata, 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 Michelle Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michelle Shannon affiliated with any hospitals?
According to CMS data, Michelle Shannon is affiliated with University Of MD Baltimore Washington Medical Center.
When was this NPI record last updated?
The NPPES record for Michelle Shannon was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Michelle Shannon, CRNP · NPI 1558909176
Critical Care Medicine physician in Salisbury, Maryland. Individual provider, active in the CMS NPPES registry since December 13, 2019.
## Identity
- **NPI:** 1558909176 (Entity type: Individual)
- **Enumerated:** December 13, 2019
- **Primary specialty:** Nurse Practitioner - Critical Care Medicine · taxonomy 363LC0200X
- **State license:** R169142 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 E CARROLL ST, Salisbury, MD 21801-5422
- **Phone:** (410) 543-7536
## 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): Tidalhealth Specialty Care, LLC (NPI 1619504735, Salisbury, MD); University Of Maryland Community Medical Group, Inc. (NPI 1679393854, La Plata, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1558909176) · Data from the CMS NPPES public registry.