Individual provider Active NPI

Roberta J Schneller, PA-C

  • Medical Physician Assistant
  • Baltimore, MD
National Provider Identifier
1013222793
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0004008 Issued in MD
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

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150122001547 MD Practitioner - Physician Assistant 3173756608 Reassigns benefits to 3 organizations
I20170816001170 DC Practitioner - Physician Assistant 3173756608 Reassigns benefits to 1 organization

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
Meritus Urgent Care LLCGroup PAC ID 2163582974, 41 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
C0004008MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CRH MD Management LLC CurrentSince Feb 1, 2022 Accepting new patients
CRH MD Management LLC CurrentSince Feb 1, 2022 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

  • Direct secure messaging: roberta.schneller@ahm.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.