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SHANNON MARIE BOLTEN MD
NPI 1801474432
Pediatrics in Baltimore, MD

Active since April 02, 2021PECOS Enrolled
22 S GREENE ST # N5W70, BALTIMORE, MD 21201(410) 328-6960(410) 328-0646 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2024, Jun 18, 2021, Apr 2, 2021 (3 updates tracked since 2021).

About Shannon Marie Bolten Md NPPES

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

SHANNON MARIE BOLTEN MD (NPI 1801474432) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (D0099725) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801474432
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANNON MARIE BOLTENCredential: MD
Location Address22 S GREENE ST # N5W70Baltimore, MD 21201-1544
Mailing Address22 S Greene St # N5w70Baltimore, MD 21201-1544 · (410) 328-6960 · Fax (410) 328-0646
Phone(410) 328-6960
Fax(410) 328-0646
Sole ProprietorNo
Enumeration DateApril 2, 2021
Last NPPES UpdateMay 9, 20243 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1801474432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D0099725
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
22 S GREENE ST # N5W70, Baltimore, MD 21201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Marie Bolten Md 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 21201 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARA LEE
Pediatrics
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-6960
ERIN BEWLEY MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-5213
BRANDI SARGENT DO
Pediatrics (Neonatal-Perinatal Medicine)
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-5213
DR. JONATHAN MICHAEL FREEMAN MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-6960
KAREN R HAWKS
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-6960
COURTNEY NICOLE LINK MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-5887
RAHMA ABD EL-SHAFY
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-6662
MADELINE CHARTIER CLARK MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST # N5W70
BALTIMORE, MD 21201
Baltimore City (410) 328-6960

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 Shannon Bolten's NPI number?

The NPI number for Shannon Bolten is 1801474432. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Shannon Bolten located?

Shannon Bolten practices at 22 S Greene St # N5w70, Baltimore, MD 21201. The listed phone number is (410) 328-6960.

What is Shannon Bolten's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shannon Bolten enrolled in Medicare?

Yes. Shannon Bolten is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Bolten was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.