DR. SHAWNESE GILPIN CLARK MD, MPH
NPI 1649766429
Pediatrics in Clinton, MD
About Dr. Shawnese Gilpin Clark Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAWNESE GILPIN CLARK MD, MPH (NPI 1649766429) is an individual pediatrics provider in Clinton, Maryland, licensed in Maryland (D0091831) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shawnese Gilpin Clark Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Shawnese Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brandywine, MD 20613
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Medicare enrollment name: Mgmc LLC
- 861 clinicians in this Medicare group
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia enrollment
- 1,417 clinicians in this Medicare group
La Plata, MD 20646
- Reassigned Medicare billing, Maryland enrollment
- 966 clinicians in this Medicare group
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
- 79 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 20735 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.
CLINTON, MD 20735
CLINTON, MD 20735
CLINTON, MD 20735
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 Shawnese Clark's NPI number?
The NPI number for Shawnese Clark is 1649766429. It was assigned to this individual provider in the NPPES registry on July 5, 2018. The provider is also known as Shawnese Lauren Samantha Gilpin MD, Mph.
Where is Shawnese Clark located?
Shawnese Clark practices at 7503 Surratts Rd, Clinton, MD 20735. The listed phone number is (240) 506-8967.
What is Shawnese Clark's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shawnese Clark enrolled in Medicare?
Yes. Shawnese Clark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shawnese Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawnese Clark reassigns Medicare benefits to 4 organizations: Medstar Medical Group II LLC (Brandywine, MD), Children's Hospital (Washington, DC), University Of Maryland Community Medical Group, Inc. (La Plata, MD) and Baltimore Washington Emergency Physicians, Inc. (Glen Burnie, 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 Shawnese Clark'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 Shawnese Clark was last updated on August 17, 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.
# Dr. Shawnese Gilpin Clark, MD, MPH · NPI 1649766429
Pediatrics physician in Clinton, Maryland. Individual provider, active in the CMS NPPES registry since July 5, 2018.
## Identity
- **NPI:** 1649766429 (Entity type: Individual)
- **Enumerated:** July 5, 2018
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D0091831 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 7503 SURRATTS RD, Clinton, MD 20735-3358
- **Phone:** (240) 506-8967
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Medstar Medical Group II LLC (NPI 1285064550, Brandywine, MD); Children's Hospital (NPI 1780800128, Washington, DC); University Of Maryland Community Medical Group, Inc. (NPI 1679393854, La Plata, MD); Baltimore Washington Emergency Physicians, Inc. (NPI 1215983853, Glen Burnie, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1649766429) · Data from the CMS NPPES public registry.