Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Shackman, MD

Individual provider Emergency Medicine Physician · NPI 1992149744

Jessica Shackman, MD is an Emergency Medicine in Columbia, Maryland. Graduated from University of Wisconsin School of Medicine in 2013, 13 years ago. Practices with Johns Hopkins University, a 2,855-clinician group. Licensed in Maryland.

Years since qualifying
13
Trained at
University of Wisconsin School of Medicine
Licensed in
MD
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5755 Cedar Ln
Columbia, MD 21044-2912
Phone: (410) 740-7890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence D0081355 (MD)
Emergency Medicine Physician Taxonomy 207P00000X · Licence D81355 (MD)

Record details

NPI number1992149744
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2013
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022
Mailing address6201 Greenleigh Ave, Middle River, MD 21220-2004

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Johns Hopkins University — 2855 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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