Doctor profile · Federal record

Dr. Shannon Idzik, CRNP

Primary Care Nurse Practitioner (CMS: Nurse Practitioner) · Baltimore, MD

  • NPI 1467445924
  • Accepts Medicare
  • MIPS 85.1 / 100 · 2023
  • 23 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
655 W Lombard St, 345
Baltimore, MD 212011512
(410) 706-8129
fax (410) 706-0344

Credentials & registration

NPPES · NUCC
NPI registered
August 2005 — 21 yrs on file
Profile last updated
January 10, 2011
Year of graduation
2003 — 23 yrs since
Specialty taxonomy
363LP2300X — NUCC code
State license (1)
Maryland #R131534

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1467445924. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
16
Distinct HCPCS
1
Medicare allowed
$2,389
HCPCS Description Services Patients Avg allowed
99204 New patient office or other outpatient visit, 45-59 minutes 16 16 $149

In context: peer comparison

Among 11 peers in Baltimore Primary Care Nurse Practitioner, average services per provider: 64. This provider delivers 0.3× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Shannon Idzik's medical specialty?
Dr. Shannon Idzik practices Primary Care Nurse Practitioner in Baltimore, MD.
Where does Dr. Shannon Idzik practice?
Dr. Shannon Idzik practices at 655 W Lombard St, Baltimore, MD 212011512. Office phone: 4107068129.
What is Dr. Shannon Idzik's NPI?
Dr. Shannon Idzik's National Provider Identifier (NPI) is 1467445924, issued by NPPES.
Does Dr. Shannon Idzik accept Medicare assignment?
Yes. Dr. Shannon Idzik accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shannon Idzik commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.