DR. SHAUN MCDONALD BAILLIE CRNP
NPI 1699471706
Nurse Practitioner - Gerontology in Lancaster, PA

Active since February 01, 2023PECOS Enrolled
100 ABBEYVILLE RD, LANCASTER, PA 17603(301) 722-0484(833) 903-0130 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2023, May 16, 2023, Feb 1, 2023 (3 updates tracked since 2023).

About Dr. Shaun Mcdonald Baillie Crnp NPPES

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

DR. SHAUN MCDONALD BAILLIE CRNP (NPI 1699471706) is an individual gerontology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (SP030203) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699471706
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameDR. SHAUN MCDONALD BAILLIECredential: CRNP
Location Address100 ABBEYVILLE RDLancaster, PA 17603-4604
Mailing Address157 Baltimore St Ste 104Cumberland, MD 21502-2472 · (301) 722-0484 · Fax (833) 903-0130
Fax(833) 903-0130
Sole ProprietorNo
Enumeration DateFebruary 1, 2023
Last NPPES UpdateFebruary 25, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1699471706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP030203
Also ListedNurse PractitionerTaxonomy 363L00000X · License APN.0998356-NP (CO)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN0998356-NP (CO)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APN.0998356-NP (CO)
100 ABBEYVILLE RD, Lancaster, PA 17603

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shaun Mcdonald Baillie Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

8

Medicare enrollment records show Shaun Baillie reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
100 ABBEYVILLE RD
Lancaster, PA 17603
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Novus Pain Management - Pennsylvania LLC
  • 13 clinicians in this Medicare group
Hospitalist
111 CONTINENTAL DR, SUITE 406
Newark, DE 19713
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 63 clinicians in this Medicare group
Internal Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 73 clinicians in this Medicare group
Internal Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 113 clinicians in this Medicare group
Geriatric Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Suburban Geriatric's, Inc.
  • 114 clinicians in this Medicare group
Geriatric Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 113 clinicians in this Medicare group
Hospitalist
30 NORTH PL
Frederick, MD 21701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 60 clinicians in this Medicare group
Hospitalist
84 COLD HILL RD
Mendham, NJ 07945
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 64 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 6

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
624 services118 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
129 services56 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
57 services45 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
55 services34 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
19 services11 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Occupational Therapy Assistant
100 ABBEYVILLE RD
LANCASTER, PA 17603
Physical Therapist (Geriatrics)
100 ABBEYVILLE RD
LANCASTER, PA 17603
Nurse Practitioner (Family)
100 ABBEYVILLE RD
LANCASTER, PA 17603
Occupational Therapy Assistant
100 ABBEYVILLE RD
LANCASTER, PA 17603
Nurse Practitioner (Family)
100 ABBEYVILLE RD
LANCASTER, PA 17603
Skilled Nursing Facility
100 ABBEYVILLE RD
LANCASTER, PA 17603
Occupational Therapy Assistant
100 ABBEYVILLE RD
LANCASTER, PA 17603
Occupational Therapy Assistant
100 ABBEYVILLE RD
LANCASTER, PA 17603

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 Shaun Baillie's NPI number?

The NPI number for Shaun Baillie is 1699471706. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Where is Shaun Baillie located?

Shaun Baillie practices at 100 Abbeyville Rd, Lancaster, PA 17603. The listed phone number is (301) 722-0484.

What is Shaun Baillie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shaun Baillie enrolled in Medicare?

Yes. Shaun Baillie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shaun Baillie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Baillie reassigns Medicare benefits to 8 organizations: Novus Pain Management,pc (Lancaster, PA), Inpatient Consultants Of Pennsylvania PC (Newark, DE), Suburban Geriatrics At Home PC (Plymouth Meeting, PA), Suburban Geriatrics II PC (Plymouth Meeting, PA), Suburban Geriatrics, Inc. (Plymouth Meeting, PA) and 3 more organizations, listed in the Medicare section above. 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 Shaun Baillie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaun Baillie accept?

Health plans from Select Health list Shaun Baillie 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 Shaun Baillie was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.