Active NPI
Roberta J Schneller, PA-C
- Medical Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C0004008
- Practice address
- 3350 Wilkens Ave
Suite 101
Baltimore, MD 21229-4600 - Phone
- (410) 644-8500
- Fax
- (410) 644-8900
- NPI assigned
- Aug 18, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0004008 | MD | Primary |
Addresses
Primary practice location
3350 Wilkens Ave
Suite 101
Baltimore, MD 21229-4600
Mailing address
3350 Wilkens Ave
Suite 101
Baltimore, MD 21229-4600
Phone (410) 644-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (240) 313-3100
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.05 of 100
- Quality
- 49.52
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 77.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0004008 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRH MD Management LLC | Current | Accepting new patients | |
| CRH MD Management LLC | Current | Accepting new patients | |
| SPRC, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Keightley & Parsley P S C | Past | Accepting new patients |
Locations
590 Lanier Ave W
Fayetteville, GA 30214
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
14421 Baltimore Ave
#12202
Laurel, MD 20707
Phone (240) 786-6684
14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684
11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094
750 Rockville Pike
Rockville, MD 20852
Phone (301) 424-0658
14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800
Interoperability endpoints
- roberta.schneller@ahm.eclinicaldirectplus.com
- rschneller1176299@meritus.direct-ci.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Hagerstown, MD
- NPI 1134383623
-
- Urgent Care Clinic/Center
- Frederick, MD
- NPI 1528187317
-
- Urgent Care Clinic/Center
- Clinton, MD
- NPI 1972263143
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Columbia, MD
- NPI 1457575656
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1386670503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1013222793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 WILKENS AVE",
"address_2": "SUITE 101",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212294600",
"telephone_number": "410-644-8500",
"fax_number": "410-644-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 WILKENS AVE",
"address_2": "SUITE 101",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212294600",
"telephone_number": "410-644-8500",
"fax_number": "410-644-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNELLER",
"first_name": "ROBERTA",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0004008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.