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JESSICA SHACKMAN M.D.
NPI 1992149744
Emergency Medicine in Columbia, MD

Active since April 23, 2013PECOS Enrolled
75/100
CMS Quality Rating
5755 CEDAR LN, COLUMBIA, MD 21044(410) 740-7890 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 3, 2022, Jun 14, 2016 (2 updates tracked since 2016).

About Jessica Shackman M.d. NPPES

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

JESSICA SHACKMAN M.D. (NPI 1992149744) is an individual emergency medicine provider in Columbia, Maryland, licensed in Maryland (D0081355) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Howard County Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2013).

NPPES Registry Identity

NPI1992149744
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJESSICA SHACKMANCredential: M.D.
Location Address5755 CEDAR LNColumbia, MD 21044-2912
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004
Phone(410) 740-7890
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2013
Enumeration DateApril 23, 2013
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1992149744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MD · D0081355✔ Licensed in MD · D81355
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5755 CEDAR LN, Columbia, MD 21044
Open in Google Maps ↗

Other Identifiers 1

OtherD81355MD · Md License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Shackman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961799788
PECOS Enrollment IDI20160922001025
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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
332 services323 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
241 services236 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
156 services151 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210048
Location5755 Cedar LaneColumbia, MD 21044 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21044 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

DR. WYNNE BREED M.D.
Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7777
DR. LUCAS E NIKKEL M.D.
Orthopaedic Surgery
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (443) 546-1570
JOHNS HOPKINS UNIVERSITY
Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7777
MOHAMMED R GHEBA M.D.
Surgery
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (443) 718-3160
MRS. TONI MARIE KELLER PA-C
Physician Assistant
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 720-8000
CEDAR HOUSE PHYSICIANS
Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7890
MS. NANCY ELENA ACS LCSW-C
Social Worker (Clinical)
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7890
MRS. KATHRYN PARSONS SCOTT L.S.W.
Social Worker (Clinical)
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 920-8695

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 Jessica Shackman's NPI number?

The NPI number for Jessica Shackman is 1992149744. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Jessica Shackman located?

Jessica Shackman practices at 5755 Cedar Ln, Columbia, MD 21044. The listed phone number is (410) 740-7890.

What is Jessica Shackman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jessica Shackman enrolled in Medicare?

Yes. Jessica Shackman is registered in the Medicare PECOS enrollment system.

Is Jessica Shackman affiliated with any hospitals?

According to CMS data, Jessica Shackman is affiliated with Johns Hopkins Howard County Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Shackman was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.