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

Mrs. Shirley Lin Pack, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1619567906

Mrs. Shirley Lin Pack, NURSEPRACTITIONER is a Nurse Practitioner in Odenton, Maryland. Qualified in 2021, 5 years ago. Practices with St Agnes Healthcare Inc, a 269-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2021

Practice location Address checks out

700 Summertime Dr
Odenton, MD 21113-1590
Phone: (410) 245-0210
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R199636 (MD)

Record details

NPI number1619567906
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Agnes Healthcare Inc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Odenton