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Active NPI 1619567906 Individual Practitioner Female Practitioner

Shirley Lin Pack , NURSE PRACTITIONER

Nurse Practitioner • Odenton, MD

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Shirley Pack, NURSE PRACTITIONER is a certified Nurse Practitioner practicing in Odenton, MD. With approximately 5 years of clinical experience since completing medical education in 2021, Shirley Pack delivers high-quality medical care to the local community at 700 SUMMERTIME DR.

Shirley Pack is affiliated with St Agnes Healthcare Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

700 Summertime Dr

Odenton, MD 211131590

Telephone 4102450210
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Odenton, MD

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs +1.5 yrs vs City Avg
City Avg: 3.5 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Odenton, MD (1277 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pack (5 Years) 5 Yrs
Odenton Specialty Average (3.5 Years) 3.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
42 35 $563.00 $158.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
36 36 $689.00 $188.71

Medical Specialties & State Licenses

CMS Verified: 2021-01-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MD R199636

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

St Agnes Healthcare Inc

3407 Wilkens Ave, Baltimore, MD 212295073

Phone: 6672348444

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2021

Registered at 700 SUMMERTIME DR, ODENTON, MD 211131590 (Tel: 4102450210)

📍
Updated Business Mailing Address January 21, 2021

Registered at 700 SUMMERTIME DR, ODENTON, MD 211131590 (Tel: 4102450210)

👤
Provider Name / Credentials Updated January 21, 2021

Recorded as SHIRLEY PACK, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2021

Nurse Practitioner (License #R199636 in MD)

🟢
Initial NPI Registration & Enumeration January 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619567906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2021
Last Update: January 21, 2021
Sole Proprietor: Yes

Mailing Address

700 Summertime Dr

Odenton, MD 211131590

Phone: 4102450210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.