MS. SHANNA FORTUNE (NP) – Adult Health Nurse Practitioner, NPI 1013335397

MS. SHANNA FORTUNE (NP) is a healthcare provider. based in Columbia, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 306629 (NY). The NPI Number for MS. SHANNA FORTUNE (NP) is 1013335397

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHANNA FORTUNE (NP)
NPI
1013335397
Phone
(410) 740-0770
Address
11055 Little Patuxent Pkwy Ste 104
Enumeration Date
2 April 2014
Last Update Date
22 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4103286704
Graduation Year
2020 (6 years ago)
PAC ID
3971800400
Group Practice PAC ID
6800882317
Professional Enrollment ID
I20160329001920
Address ID
MD212011544BA22XXXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

6,763 NURSE PRACTITIONER in MD

Provider Addresses for MS. SHANNA FORTUNE (NP)

  • 11055 Little Patuxent Pkwy Ste 104

    Columbia, MD 210443234

    Phone: (410) 740-0770

    Type: Location

  • 22 S GREENE ST

    BALTIMORE, MD 212011544

    Phone: (410) 328-8107

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Janssen Scientific Affairs, LLC ($112).

Total Amount

$194

General + Research + Ownership

Payments

2

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160329001920INurse PractitionerMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4429$0
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 21044)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800882317View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerMD
Plastic And Reconstructive SurgeryMD
Nurse PractitionerMD
N E U R O S U R G E R YMN
Nurse PractitionerMD
A N E S T H E S I O L O G YMD
Nurse PractitionerIN
Nurse PractitionerMD
Nurse PractitionerMD

Reviews

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Frequently asked questions

Does MS. SHANNA FORTUNE (NP) have a public NPI I can cite?
Public records show MS. SHANNA FORTUNE (NP) under NPI 1013335397.
Is MS. SHANNA FORTUNE (NP) currently accepting referrals based on NPI status?
Registry metadata lists MS. SHANNA FORTUNE (NP) as active.
Which specialty label fits MS. SHANNA FORTUNE (NP)?
NPPES ties MS. SHANNA FORTUNE (NP) to Adult Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. SHANNA FORTUNE (NP)?
MS. SHANNA FORTUNE (NP) shows a connection to Columbia, Maryland in registry-derived data.
Who maintains MS. SHANNA FORTUNE (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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