Individual provider Active NPI

Denise L Beltowski, PAC

  • Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1003865759
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA001876L Issued in PA
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

Updated by the provider on Jul 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
50010064OtherPACAPITAL BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050204000273 PA Practitioner - Physician Assistant 0749231926 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
C0002198MDMDPhysician Assistant
MA001876LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Aug 1, 2017 Accepting new patients
MNR Industries, LLC CurrentSince Aug 1, 2017 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Mar 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.