SHAWNA ANGEL CHISHOLM CRNP NPI 1679091524

NPI Information

  • NPI: 1679091524
  • Provider Name: SHAWNA ANGEL CHISHOLM, CRNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13121 BROOKLANE DR
    HAGERSTOWN, MD
    ZIP 21742
  • Phone: (301) 733-0330

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NPI Details

Shawna Angel Chisholm, CRNP is a psychiatric/mental health nurse practitioner in Hagerstown, MD with 4 years of experience. Shawna Angel Chisholm, CRNP NPI is 1679091524. 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:

13121 BROOKLANE DR
HAGERSTOWN, MD
ZIP 21742-514
Phone: (301) 733-0330

The NPI 1679091524 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0481)
  • Telehealth originating site facility fee (HCPCS:Q3014)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Measurement of alcohol level in breath specimen (HCPCS:82075)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0480)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0482)

The enumeration date for this NPI number is 8/30/2017 and was last updated on 12/8/2022.

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
1363LF0000XNurse PractitionerFamilyR198999MARYLANDNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAC004808MARYLANDYes

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: 3/30/2025

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