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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: August 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2026, Jul 31, 2026, Jul 16, 2026 and 4 more (7 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, maintains a secondary practice location in Taylor, and is a graduate of Other (2026).

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
Phone(301) 241-6070
Fax(570) 410-8110
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 20, 2019
Last NPPES UpdateAugust 29, 20267 updates tracked since enumeration
NPPES CertifiedAugust 29, 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✔ Licensed in NJ · 26NJ00933800
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00933800 (NJ), R238464 (MD), SP035477 (PA)
516 N ROLLING RD STE 305, Catonsville, MD 21228
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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, billing reassignment, and ordering and referring status from CMS.

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).

PECOS PAC ID4082172663
PECOS Enrollment IDI20260813003556
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 Reassignment

Medicare enrollment records show Mary Shade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Calmness
1.7 mi
Psychiatric/Mental Health
516 N ROLLING RD
Catonsville, MD 21228
  • Reassigned Medicare billing, Maryland enrollment
  • 5 clinicians in this Medicare group
NPI 1538873344 (301) 241-6070

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 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.

BELINDA OKORUWA CRNP
Nurse Practitioner (Family)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Baltimore County (667) 465-2590
CAREOAK PSYCHIATRY AND WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Baltimore County (240) 579-7115
ALLOW HEALTH LLC
Psychologist (Counseling)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Baltimore County (443) 499-0447
KATHLEEN KERN LCSW-C
Social Worker (Clinical)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Baltimore County (410) 572-7981
KIMBERLY CLAIBORNE LCPC
Counselor (Professional)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Baltimore County (443) 272-1097
LINDSEY ALEXANDRA WELLER LCSW-C
Social Worker (Clinical)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Baltimore County (443) 203-9774
ABOARD LLC
Clinic/Center (Health Service)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Baltimore County (410) 499-2750
BLUE SKY THERAPY & WELLNESS
Social Worker (Clinical)
516 N ROLLING RD STE 305
CATONSVILLE, MD 21228
Baltimore County (240) 468-9546

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.

Which organization bills Medicare for Mary Shade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Shade reassigns Medicare benefits to Mental Health Calmness (Catonsville, MD). The 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 Mary Shade'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 Mary Shade was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.