1. Home
  2. Directory
  3. Maryland
  4. Odenton
  5. Nurse Practitioner
  6. NPI Profile

MRS. SHIRLEY LIN PACK NURSE PRACTITIONER
NPI 1619567906
Nurse Practitioner in Odenton, MD

Active since January 21, 2021PECOS EnrolledAccepts Medicare Assignment
700 SUMMERTIME DR, ODENTON, MD 21113(410) 245-0210 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shirley Lin Pack Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHIRLEY LIN PACK NURSE PRACTITIONER (NPI 1619567906) is an individual nurse practitioner in Odenton, Maryland, licensed in Maryland (R199636) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Agnes Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619567906
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SHIRLEY LIN PACKCredential: NURSE PRACTITIONER
Location Address700 SUMMERTIME DROdenton, MD 21113-1590
Mailing Address700 Summertime DrOdenton, MD 21113-1590 · (410) 245-0210
Phone(410) 245-0210
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1619567906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R199636
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
700 SUMMERTIME DR, Odenton, MD 21113
Open in Google Maps ↗

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

Mrs. Shirley Lin Pack Nurse Practitioner 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.

PECOS PAC ID4789093485
PECOS Enrollment IDI20220126000300
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
36 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Agnes Hospital

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210011
Location900 Caton AvenueBaltimore, MD 21229 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shirley Pack's NPI number?

The NPI number for Shirley Pack is 1619567906. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Shirley Pack located?

Shirley Pack practices at 700 Summertime Dr, Odenton, MD 21113. The listed phone number is (410) 245-0210.

What is Shirley Pack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shirley Pack enrolled in Medicare?

Yes. Shirley Pack 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.

Is Shirley Pack affiliated with any hospitals?

According to CMS data, Shirley Pack is affiliated with Saint Agnes Hospital.

When was this NPI record last updated?

The NPPES record for Shirley Pack was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.