Individual provider Active NPI

Karen Diana Hershfeld, PA-C

  • Physician Assistant
  • Oakland, MD
National Provider Identifier
1104837269
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0001983 Issued in MD
Practice address
251 N 4TH St
Oakland, MD 21550
Phone
(301) 533-4000
Fax
(301) 533-4208
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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 C0001983 MD Primary

Addresses

Primary practice location

251 N 4TH St
Oakland, MD 21550

Mailing address

PO Box 597
Oakland, MD 21550-4597
Phone (301) 533-4000

Other practice location 1

17 Western Maryland Pkwy
Suite 100
Hagerstown, MD 21740-5471
Phone (301) 797-6389 ext. 1187

Other identifiers 1

IdentifierTypeStateIssuer
1104837269MedicaidWV

Other names 1

  • Karen Diana Kime Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050830000821 MD Practitioner - Physician Assistant 1254362106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0001983MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 3

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1104837269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504597",
            "telephone_number": "301-533-4000",
            "fax_number": "301-533-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N 4TH ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "21550",
            "telephone_number": "301-533-4000",
            "fax_number": "301-533-4208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Western Maryland Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405471",
            "country_code": "US",
            "telephone_number": "301-797-6389 x1187",
            "fax_number": "301-797-4119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSHFELD",
        "first_name": "KAREN",
        "middle_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104837269",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KIME",
            "middle_name": "DIANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.