SHAWNA ANGEL CHISHOLM CRNP
NPI 1679091524
Nurse Practitioner - Psychiatric/Mental Health in Hagerstown, MD

Active since August 30, 2017PECOS EnrolledAccepts Medicare Assignment
13121 BROOKLANE DR, HAGERSTOWN, MD 21742(301) 733-0330 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2022, Dec 21, 2020, Aug 30, 2017 (3 updates tracked since 2017).

About Shawna Angel Chisholm Crnp NPPES

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

SHAWNA ANGEL CHISHOLM CRNP (NPI 1679091524) is an individual psychiatric/mental health provider in Hagerstown, Maryland, licensed in Maryland (AC004808) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679091524
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHAWNA ANGEL CHISHOLMCredential: CRNP
Location Address13121 BROOKLANE DRHagerstown, MD 21742-1514
Mailing Address13121 Brooklane DrHagerstown, MD 21742-1514 · (717) 404-8049
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 30, 2017
Last NPPES UpdateDecember 8, 20223 updates tracked since enumeration
NPPES CertifiedDecember 8, 2022
NPI 1679091524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · AC004808
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R198999 (MD)
13121 BROOKLANE DR, Hagerstown, MD 21742

Secondary Practice Locations 2

Location 1339 E Antietam StHagerstown, MD 21740-5767 · Phone (301) 850-6867
Location 2265 Mill St Ste 100Hagerstown, MD 21740-6170 · Phone (877) 522-1275

Accepted Insurance

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

Shawna Angel Chisholm 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 ID4486911385
PECOS Enrollment IDI20171201000240
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
100 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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.

Social Worker
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Nurse Practitioner (Family)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Psychiatry & Neurology (Psychiatry)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Registered Nurse (Psychiatric/Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Counselor (Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Counselor (Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Nurse Practitioner (Psychiatric/Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Counselor (Professional)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742

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 Shawna Chisholm's NPI number?

The NPI number for Shawna Chisholm is 1679091524. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Shawna Chisholm located?

Shawna Chisholm practices at 13121 Brooklane Dr, Hagerstown, MD 21742. The listed phone number is (301) 733-0330.

What is Shawna Chisholm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shawna Chisholm enrolled in Medicare?

Yes. Shawna Chisholm 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.

What insurance does Shawna Chisholm accept?

Health plans from Moda Health Plan, Inc., Mountain Health CO-OP and Providence Health Plan list Shawna Chisholm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawna Chisholm was last updated on December 8, 2022. 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.