VICTORIA J SHELLEM CRNP NPI 1407088727

NPI Information

NPI: 1407088727
Provider Name: VICTORIA J SHELLEM, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2000 MEDICAL PKWY
SUITE 200
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 481-5300
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Victoria J Shellem, CRNP is an adult health nurse practitioner in Annapolis, MD with 17 years of experience. Victoria J Shellem, CRNP NPI is 1407088727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2000 MEDICAL PKWY
SUITE 200
ANNAPOLIS, MD
ZIP 21401-742
Phone: (443) 481-5300
Fax: (443) 481-6705

The NPI 1407088727 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2009 and was last updated on 12/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R153442	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11995694	OTHER	MARYLAND	COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE
2	8057972	OTHER	MARYLAND	AETNA HMO
3	95586303	OTHER	MARYLAND	BCBS MD
4	V8740009	OTHER	DISTRICT OF COLUMBIA	BCBS
5	V8380009	OTHER	DISTRICT OF COLUMBIA	BCBS
6	169723ZCU2	OTHER	MARYLAND	MEDICARE GROUP MEMBER PTAN
7	95586304	OTHER	MARYLAND	BCBS
8	802358YBL9	MEDICARE PIN	MARYLAND
9	169723ZDWS	MEDICARE PIN	MARYLAND
10	9284514	OTHER	MARYLAND	AETNA PPO
11	95586305	OTHER	MARYLAND	BCBS
12	025825300	MEDICAID	MARYLAND
13	169723Y5Z	MEDICARE PIN	MARYLAND
14	V8080009	OTHER	DISTRICT OF COLUMBIA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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