SHUSMA KARKI CRNP
NPI 1679022370
Nurse Practitioner - Family in Catonsville, MD

Active since September 23, 2016PECOS EnrolledAccepts Medicare Assignment
4 W ROLLING XRDS STE 100, CATONSVILLE, MD 21228(410) 869-0100(410) 601-7317 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shusma Karki Crnp NPPES

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

SHUSMA KARKI CRNP (NPI 1679022370) is an individual family provider in Catonsville, Maryland, licensed in Maryland (R167601) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1679022370
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHUSMA KARKICredential: CRNP
Location Address4 W ROLLING XRDS STE 100Catonsville, MD 21228-6277
Mailing Address4 W Rolling Xrds Ste 100Catonsville, MD 21228-6277 · (410) 869-0100 · Fax (410) 601-7317
Fax(410) 601-7317
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 23, 2016
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
NPI 1679022370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R167601
4 W ROLLING XRDS STE 100, Catonsville, MD 21228

Secondary Practice Location 1

Location 11235 E Monument StBaltimore, MD 21202-5327 · Phone (410) 327-5100

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

Shusma Karki 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.

PECOS PAC ID42591679
PECOS Enrollment IDI20161220000171
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 13

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
278 services154 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
189 services82 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
161 services81 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services86 patients
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.
97 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210040
Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21228 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers27 claims27 services$192.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4 W ROLLING XRDS STE 100
CATONSVILLE, MD 21228
Nurse Practitioner (Adult Health)
4 W ROLLING XRDS STE 100
CATONSVILLE, MD 21228
Internal Medicine
4 W ROLLING XRDS STE 100
CATONSVILLE, MD 21228
Family Medicine
4 W ROLLING XRDS STE 100
CATONSVILLE, MD 21228

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 Shusma Karki's NPI number?

The NPI number for Shusma Karki is 1679022370. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Where is Shusma Karki located?

Shusma Karki practices at 4 W Rolling Xrds Ste 100, Catonsville, MD 21228. The listed phone number is (410) 869-0100.

What is Shusma Karki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shusma Karki enrolled in Medicare?

Yes. Shusma Karki 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 Shusma Karki affiliated with any hospitals?

According to CMS data, Shusma Karki is affiliated with Mercy Medical Center Inc and Northwest Hospital Center.

When was this NPI record last updated?

The NPPES record for Shusma Karki was last updated on February 12, 2024. 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.