NPIMap

Organization Active NPI

Way Station Inc

  • Multi-Specialty Clinic/Center
  • Columbia, MD
National Provider Identifier
1104914464
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WAY STATION INC
Practice address
9030 State Route 108 Ste a
Columbia, MD 21045-1990
Phone
(410) 740-1901
Fax
(410) 740-8932
NPI assigned
Oct 11, 2006
Last updated
Feb 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Sue Kessler
Title
Director, Revenue Cycle
Phone
(410) 382-8111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9030 State Route 108 Ste a
Columbia, MD 21045-1990

Mailing address

PO Box 791888
Baltimore, MD 21279-1888
Phone (301) 662-0099

Other practice location 1

20629 Boland Farm Rd
Germantown, MD 20876-4017
Phone (301) 662-0099

Other identifiers 3

IdentifierTypeStateIssuer
K011WAOtherMDMDBCBS GROUP NUMBER
264161501MedicaidMD
T806OtherMDBLUE CHOICE GROUP NUMBER

Other names 1

  • Sherppard Pratt at Howard County Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040421001136 MD Part B Supplier - Clinic/Group Practice 8628064151 Receives reassigned benefits from 134 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, MD; Frederick, MD; Hagerstown, MD
O20260605001107 DC Part B Supplier - Clinic/Group Practice 8628064151 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Way Station, Inc.
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Hagerstown, MD
    • NPI 1124490784

    8628064151

    Same PAC ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1104914464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791888",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791888",
            "telephone_number": "301-662-0099",
            "fax_number": "443-659-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 STATE ROUTE 108 STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451990",
            "telephone_number": "410-740-1901",
            "fax_number": "410-740-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20629 Boland Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764017",
            "country_code": "US",
            "telephone_number": "301-662-0099",
            "fax_number": "443-659-2429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAY STATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "410-382-8111"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDBCBS GROUP NUMBER",
            "identifier": "K011WA",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264161501",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE GROUP NUMBER",
            "identifier": "T806",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherppard Pratt at Howard County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.