Active NPI
Kelsey Lee Quick, PA-C
- Gynecology Physician
- Pasadena, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- C0007893
- Practice address
- 33 Magothy Beach Rd Ste 102-103
Pasadena, MD 21122-4413 - Phone
- (480) 939-3596
- NPI assigned
- Nov 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | C0007893 | MD | Primary |
Addresses
Primary practice location
33 Magothy Beach Rd Ste 102-103
Pasadena, MD 21122-4413
Mailing address
726 Pine Drift Dr
Odenton, MD 21113-2504
Phone (301) 875-5517
Other practice location 1
726 Pine Drift Dr
Odenton, MD 21113-2504
Phone (301) 875-5517
Other practice location 2
15204 Omega Dr Ste 200
Rockville, MD 20850-4814
Phone (301) 330-7007
Other names 1
- Kelsey Lee Jarman
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505
1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960
20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720
228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795
350 Fortune Ter
Suite D
Potomac, MD 20854-2910
Phone (443) 584-5323
4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258
6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Urgent Care LLC | Single Specialty | Current | Accepting new patients |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3007 Tilden St NW
Ste 5N
Washington, DC 20008
1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
Interoperability endpoints
- https://api.platform.athenahealth.com/13394/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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
- Baltimore, MD
- NPI 1902175870
-
- Urgent Care Clinic/Center
- Pasadena, MD
- NPI 1053728634
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1104428275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 PINE DRIFT DR",
"city": "ODENTON",
"state": "MD",
"postal_code": "211132504",
"telephone_number": "301-875-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MAGOTHY BEACH RD STE 102-103",
"city": "PASADENA",
"state": "MD",
"postal_code": "211224413",
"telephone_number": "480-939-3596"
}
],
"practiceLocations": [
{
"address_1": "726 Pine Drift Dr",
"address_purpose": "LOCATION",
"city": "Odenton",
"state": "MD",
"postal_code": "211132504",
"country_code": "US",
"telephone_number": "301-875-5517",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15204 Omega Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208504814",
"country_code": "US",
"telephone_number": "301-330-7007",
"fax_number": "301-330-7006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUICK",
"first_name": "KELSEY",
"middle_name": "LEE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-12",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MD",
"license": "C0007893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "JARMAN",
"middle_name": "LEE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.