Active NPI
Denise L Beltowski, PAC
- Physician Assistant
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA001876L
- Practice address
- 13620 Crayton Blvd Ste a
Hagerstown, MD 21742-2335 - Phone
- (240) 313-3100
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0002198 | MD | |
| Physician Assistant | 363A00000X | MA001876L | PA | Primary |
Addresses
Primary practice location
13620 Crayton Blvd Ste a
Hagerstown, MD 21742-2335
Mailing address
13620 Crayton Blvd Ste a
Hagerstown, MD 21742-2335
Phone (240) 313-3100
Other practice location 1
220 Wilson St Ste 109
Carlisle, PA 17013-3650
Phone (717) 249-1929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50010064 | Other | PA | CAPITAL BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | denise.beltowskipac.p1@direct.masland.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002198 | MD | MD | Physician Assistant |
| MA001876L | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, PC | Physician Assistant | Current | Accepting new patients |
| MNR Industries LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Camp Hill Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
| Emergency Physician Associates, PA | Past | Accepting new patients |
Locations
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970
504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452
300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285
Interoperability endpoints
- dbeltowski1175000@meritus.direct-ci.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
-
dba ExpressCare of Mount Airy
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1649089418
-
dba ExpressCare of Northwest
- Urgent Care Clinic/Center
- Randallstown, MD
- NPI 1902262587
-
- Emergency Care Clinic/Center
- Frederick, MD
- NPI 1134119688
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Emergency Medicine Physician
- Camp Hill, PA
- NPI 1720037997
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1003865759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13620 CRAYTON BLVD STE A",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422335",
"telephone_number": "240-313-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 CRAYTON BLVD STE A",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422335",
"telephone_number": "240-313-3100"
}
],
"practiceLocations": [
{
"address_1": "220 Wilson St Ste 109",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170133650",
"country_code": "US",
"telephone_number": "717-249-1929",
"fax_number": "717-249-9332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELTOWSKI",
"first_name": "DENISE",
"middle_name": "L",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0002198",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA001876L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BCBS",
"identifier": "50010064",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "denise.beltowskipac.p1@direct.masland.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Address through NextGen Share",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "220 Wilson St Ste 109",
"city": "Carlisle",
"state": "PA",
"country_code": "US",
"postal_code": "170133650",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.