Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY J SHADE FNP-C, PMHNP-BC
NPI 1760042899
Nurse Practitioner - Psychiatric/Mental Health in Catonsville, MD

Active since June 20, 2019PECOS Enrolled
516 N ROLLING RD STE 305, CATONSVILLE, MD 21228(301) 241-6070(570) 410-8110 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 31, 2026, Jul 16, 2026, Nov 27, 2025 and 3 more (6 updates tracked since 2019).

About Mary J Shade Fnp-c, Pmhnp-bc NPPES

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

MARY J SHADE FNP-C, PMHNP-BC (NPI 1760042899) is an individual psychiatric/mental health provider in Catonsville, Maryland, licensed in Maryland (R238464) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Taylor.

NPPES Registry Identity

NPI1760042899
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY J SHADECredential: FNP-C, PMHNP-BC
Location Address516 N ROLLING RD STE 305Catonsville, MD 21228-4142
Mailing AddressPo Box 147Havre De Grace, MD 21078-0147 · (301) 241-6070 · Fax (570) 410-8110
Fax(570) 410-8110
Sole ProprietorNo
Enumeration DateJune 20, 2019
Last NPPES UpdateJuly 31, 20266 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1760042899 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
Licenses Licensed in MD · R238464 Licensed in PA · SP036380
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R238464 (MD), SP035477 (PA), 26NJ00933800 (NJ)
516 N ROLLING RD STE 305, Catonsville, MD 21228

Secondary Practice Location 1

Location 1712 S Keyser Ave Unit 5-6Taylor, PA 18517-9614 · Phone (570) 232-3451 · Fax (570) 410-8110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary J Shade Fnp-c, Pmhnp-bc 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.

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.

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.

Nurse Practitioner (Family)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Nurse Practitioner (Psychiatric/Mental Health)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Psychologist (Counseling)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Social Worker (Clinical)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Counselor (Professional)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Social Worker (Clinical)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Clinic/Center (Health Service)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Social Worker (Clinical)
516 N ROLLING RD STE 305
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 Mary Shade's NPI number?

The NPI number for Mary Shade is 1760042899. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Mary Shade located?

Mary Shade practices at 516 N Rolling Rd Ste 305, Catonsville, MD 21228. The listed phone number is (301) 241-6070.

What is Mary Shade's specialty?

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

Is Mary Shade enrolled in Medicare?

Yes. Mary Shade is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Shade was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.