Nile Seaborn, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C08011 Issued in MD

Practice address

5965 Exchange Dr Ste a-B
Sykesville, MD 21784-9254

Phone

(410) 552-8126

Fax

(443) 458-7220

NPI assigned

Jul 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Associates P aGroup PAC ID 1254631005, 44 clinicians

Dr Wilbur Kuo and Associates Internal Medicine LLCGroup PAC ID 6406154947, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nile.seaborn.p2@direct.clinicalassociates.nextgenshare.com
• Direct secure messaging: mdexchange@patientfirstclinics.com

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.

• Clinical Associates P a

  • Multi-Specialty Clinic/Center
  • Towson, MD
  • NPI 1871973628
  Medicare reassignment Care Compare group
• Dr Wilbur Kuo & Associates Internal Medicine LLC

  • Internal Medicine Physician
  • Sykesville, MD
  • NPI 1548620990
  Medicare reassignment Care Compare group
• Patient First Maryland Medical Group PLLC

  • Family Medicine Physician
  • Silver Spring, MD
  • NPI 1265866503

  DC

  Medicare reassignment NPD
• Patient First Maryland Medical Group, PLLC

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1962423632

  MD

  Medicare reassignment NPD
• Clinical Associates PA

  • Foot & Ankle Surgery Podiatrist
  • Pikesville, MD
  • NPI 1568264281
  NPD
• Patient First Maryland Medical Group PLLC

  • Family Medicine Physician
  • Capitol Heights, MD
  • NPI 1427807999
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716681600000",
    "number": "1033780796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 EXCHANGE DR STE A-B",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849254",
            "telephone_number": "410-552-8126",
            "fax_number": "443-458-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 EXCHANGE DR STE A-B",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217849254",
            "telephone_number": "410-552-8126",
            "fax_number": "443-458-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Annapolis Rd",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131602",
            "country_code": "US",
            "telephone_number": "443-351-3917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEABORN",
        "first_name": "NILE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-05",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C08011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1110 Annapolis Rd",
            "city": "Odenton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211131602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Kane Nutrition
• Jonnalagadda S Sastry
• Christian Schneider
• Kate Masten Schrumpf, PSYD
• Mariah Siobhan Scott, LCPC
• Seppk
• Serenity Health Center
• Manuez De Jesus Sevilla, MD
• Shahida Siddiqi MD PA
• Vaishali Sheth, PHARMD

• Physician Assistant in Sykesville, MD
• Providers in Sykesville, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.