Individual provider Active NPI

Chelsea Shakes, PA-C

  • Physician Assistant
  • Gaithersburg, MD
National Provider Identifier
1104653450
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
16220 Frederick Rd Ste 213
Gaithersburg, MD 20877-4017
Phone
(301) 963-2770
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

16220 Frederick Rd Ste 213
Gaithersburg, MD 20877-4017

Mailing address

16220 Frederick Rd Ste 213
Gaithersburg, MD 20877-4017

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
I20241202000293 MD Practitioner - Physician Assistant 8325573256 Reassigns benefits to 3 organizations
I20251216001343 DC Practitioner - Physician Assistant 8325573256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Oct 9, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 9, 2025 Accepting new patients
Saint Paul Place Specialists, Inc. CurrentSince Nov 14, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Oct 9, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 9, 2025 Accepting new patients
St Paul Place Specialists Inc CurrentSince Nov 14, 2024 Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

301 Saint Paul St
Fl 1
Baltimore, MD 21202
Phone (410) 332-9610

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

16220 Frederick Rd
Ste 213
Gaithersburg, MD 20877
Phone (301) 942-2977

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Interoperability endpoints

  • Direct secure messaging: chelsea.shakes.1@8042.direct.athenahealth.com

Organizations & group practices 9

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": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1104653450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD STE 213",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD STE 213",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774017",
            "telephone_number": "301-963-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKES",
        "first_name": "CHELSEA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.