Kelly Hausenbauer, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0004612 Issued in MD

Practice address

310 W Ninth St
Frederick, MD 21701-4546

Phone

(301) 695-6800

Fax

(301) 695-6891

NPI assigned

Oct 5, 2011

Last updated

Oct 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frederick Gastroenterology Associates PAGroup PAC ID 8022058650, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

Merit-based Incentive Payment System (MIPS)

Final score

67.31 of 100Reported as group

Quality

39.15

Promoting interoperability

89

Improvement activities

40

Cost

61.06

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Frederick Gastroenterology Associates PA

  • Gastroenterology Physician
  • Frederick, MD
  • NPI 1962508887
  Medicare reassignment Care Compare group
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

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

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  Care Compare affiliation

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1053695304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W NINTH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014546",
            "telephone_number": "301-695-6800",
            "fax_number": "301-695-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W NINTH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014546",
            "telephone_number": "301-695-6800",
            "fax_number": "301-695-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSENBAUER",
        "first_name": "KELLY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Hassett-Clark, PT
• Michael Ryan Hassett, PA-C, ATC, CSCS
• Hatrick Ventures Inc.
• Lynn Hatrick
• Amy Rebecca Hauerstein, MSPT
• Hauser Health
• Francine Hawes, RD, LDN
• Anthony Wayne Hawkes Jr.
• Kayla Hawkesworth
• Evette Hawkins

• Medical Physician Assistant in Frederick, MD
• Providers in Frederick, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.