SHONNA MARIE WAGAMAN FNP-BC
NPI 1760091581
Nurse Practitioner - Family in Leonardtown, MD
About Shonna Marie Wagaman Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHONNA MARIE WAGAMAN FNP-BC (NPI 1760091581) is an individual family provider in Leonardtown, Maryland, licensed in Maryland (R212454) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mechanicsville, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shonna Marie Wagaman Fnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Shonna Wagaman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Annapolis, MD 21401
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 49 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEONARDTOWN, MD 20650
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 Shonna Wagaman's NPI number?
The NPI number for Shonna Wagaman is 1760091581. It was assigned to this individual provider in the NPPES registry on July 28, 2020.
Where is Shonna Wagaman located?
Shonna Wagaman practices at 23000 Moakley St Ste 206, Leonardtown, MD 20650. The listed phone number is (410) 571-2946.
What is Shonna Wagaman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shonna Wagaman enrolled in Medicare?
Yes. Shonna Wagaman 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.
Which organization bills Medicare for Shonna Wagaman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shonna Wagaman reassigns Medicare benefits to Advanced Pain Management Specialists, LLC (Annapolis, 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 Shonna Wagaman'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 Shonna Wagaman was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Shonna Marie Wagaman, FNP-BC · NPI 1760091581
Family physician in Leonardtown, Maryland. Individual provider, active in the CMS NPPES registry since July 28, 2020.
## Identity
- **NPI:** 1760091581 (Entity type: Individual)
- **Enumerated:** July 28, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R212454 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 23000 MOAKLEY ST STE 206, Leonardtown, MD 20650-2917
- **Phone:** (410) 571-2946 · **Fax:** (301) 632-6187
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advanced Pain Management Specialists, LLC (NPI 1861418220, Annapolis, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1760091581) · Data from the CMS NPPES public registry.