Shawna Angel Chisholm, CRNP in Hagerstown, MD

Shawna Angel Chisholm, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hagerstown, Maryland. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brook Lane Behavioral Services, Inc., Morrell Advanced Practice Llc and her current practice location is 13121 Brooklane Dr, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 733-0330.

Shawna Angel Chisholm is licensed to practice in Maryland (license number AC004808) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679091524.

Contact Information

	Shawna Angel Chisholm, CRNP
	13121 Brooklane Dr, Hagerstown, MD 21742-1514
	(301) 733-0330
	Not Available

Map and Direction

Provider's Profile

Full Name	Shawna Angel Chisholm
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	13121 Brooklane Dr, Hagerstown, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shawna Angel Chisholm graduated from nursing school in 2021

NPI Data:

NPI Number: 1679091524
Provider Enumeration Date: 08/30/2017
Last Update Date: 12/08/2022

Medicare PECOS Information:

PECOS PAC ID: 4486911385
Enrollment ID: I20171201000240

Medical Identifiers

Medical identifiers for Shawna Angel Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679091524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R198999 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AC004808 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Brook Lane Behavioral Services, Inc.	5991055022	33
Morrell Advanced Practice Llc	6204226418	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shawna Angel Chisholm allows following entities to bill medicare on her behalf.

Entity Name	Brook Lane Behavioral Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538647748 PECOS PAC ID: 5991055022 Enrollment ID: O20180911000549

Entity Name	Morrell Advanced Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306508189 PECOS PAC ID: 6204226418 Enrollment ID: O20220415000787

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shawna Angel Chisholm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shawna Angel Chisholm, CRNP 13121 Brooklane Dr, Hagerstown, MD 21742-1514 Ph: (717) 404-8049	Shawna Angel Chisholm, CRNP 13121 Brooklane Dr, Hagerstown, MD 21742-1514 Ph: (301) 733-0330

Reviews and Comments

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Shawna Angel Chisholm, CRNP - Medicare Nurse Practitioner in Hagerstown, MD