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SHAUNA PETTIS ANP
NPI 1902133143
Nurse Practitioner - Adult Health in Brandywine, MD

Active since November 09, 2009PECOS EnrolledAccepts Medicare Assignment
7450 ALBERT RD FL 2, BRANDYWINE, MD 20613(301) 888-2233(301) 888-9133 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2023, Aug 20, 2021, Jun 30, 2021 (3 updates tracked since 2021).

About Shauna Pettis Anp NPPES

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

SHAUNA PETTIS ANP (NPI 1902133143) is an individual adult health provider in Brandywine, Maryland, licensed in Maryland (R215472) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902133143
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHAUNA PETTISCredential: ANP
Location Address7450 ALBERT RD FL 2Brandywine, MD 20613-3035
Mailing Address11207 Barnswallow Pl Apt EWaldorf, MD 20603-4837 · (414) 748-7776
Phone(301) 888-2233
Fax(301) 888-9133
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 9, 2009
Last NPPES UpdateFebruary 16, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
✔ NPI 1902133143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MD · R215472
7450 ALBERT RD FL 2, Brandywine, MD 20613
Open in Google Maps ↗

Other Identifiers 1

Medicaid444563500MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shauna Pettis Anp 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.

PECOS PAC ID9931507332
PECOS Enrollment IDI20211015002036
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 20613 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 8

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

DAWN ALICIA WILLIAMS MSN FNP-C
Nurse Practitioner (Family)
7450 ALBERT RD FL 2
BRANDYWINE, MD 20613
Prince George's County (301) 888-2233
MS. DONNA MCCONATHY CRNP
Nurse Practitioner
7450 ALBERT RD FL 2
BRANDYWINE, MD 20613
Prince George's County (301) 888-2233
AMAR A MUKHTAR DO
Psychiatry & Neurology (Psychiatry)
7450 ALBERT RD FL 2
BRANDYWINE, MD 20613
Prince George's County (301) 888-2233
MR. CLARENCE MCNEIL JOHNSON JR. CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
7450 ALBERT RD FL 2
BRANDYWINE, MD 20613
Prince George's County (301) 888-2233
BRENDA L BURNETT LCPC
Counselor (Professional)
7450 ALBERT RD FL 2
BRANDYWINE, MD 20613
Prince George's County (301) 888-2233
JESSICA OFOSUA NP
Nurse Practitioner (Family)
7450 ALBERT RD FL 2
BRANDYWINE, MD 20613
Prince George's County (301) 888-2233
GEORGE PATRICK GLICK NP
Nurse Practitioner (Adult Health)
7450 ALBERT RD FL 2
BRANDYWINE, MD 20613
Prince George's County (301) 888-2233
GREATER BADEN MEDICAL SERVICE INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
7450 ALBERT RD FL 2
BRANDYWINE, MD 20613
Prince George's County (301) 888-2233

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 Shauna Pettis's NPI number?

The NPI number for Shauna Pettis is 1902133143. It was assigned to this individual provider in the NPPES registry on November 9, 2009.

Where is Shauna Pettis located?

Shauna Pettis practices at 7450 Albert Rd Fl 2, Brandywine, MD 20613. The listed phone number is (301) 888-2233.

What is Shauna Pettis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shauna Pettis enrolled in Medicare?

Yes. Shauna Pettis 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.

When was this NPI record last updated?

The NPPES record for Shauna Pettis was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.