Individual provider Active NPI

Kelsey Lee Quick, PA-C

  • Gynecology Physician
  • Pasadena, MD
National Provider Identifier
1104428275
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
C0007893 Issued in MD
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

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former name

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
I20240605001897 MD Practitioner - Physician Assistant 4880062553 Reassigns benefits to 2 organizations
I20250123002700 DC Practitioner - Physician Assistant 4880062553 Reassigns benefits to 1 organization

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
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

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

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC Single Specialty CurrentSince Jan 26, 2025 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 26, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.