Mellisa Tamika Barnswell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1434 Porter St
Frederick, MD 21702-9254

Phone

(301) 619-7175

NPI assigned

Dec 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1324771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1093084782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 PORTER ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029254",
            "telephone_number": "301-619-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 PORTER ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029254",
            "telephone_number": "301-619-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNSWELL",
        "first_name": "MELLISA",
        "middle_name": "TAMIKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-25",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barnett Medical, LLC
• Josephine Barnett
• Justin Barnett
• Lisa Lynne Barnett, CPNP
• Nancy Kretzer Barnett, L.C.S.W.-C.
• Lori Jean Barr
• Amanda Barrett, LGPC
• Robert Anderton Barrett, LMSW
• Janna Barrick
• Justin C Barrick, LCSW-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.