Individual provider Active NPI

Amy Elizabeth Spangler, PA

  • Physician Assistant
  • Greenbelt, MD
National Provider Identifier
1205045952
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002744 Issued in MD
Practice address
7701 Greenbelt Rd
Suite 504
Greenbelt, MD 20770-2037
Phone
(301) 345-7375
Fax
(301) 345-7269
NPI assigned
May 21, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 C0002744 MD Primary

Addresses

Primary practice location

7701 Greenbelt Rd
Suite 504
Greenbelt, MD 20770-2037

Mailing address

301 Watersville Rd
Ste 2
Mount Airy, MD 21771-5513
Phone (301) 345-7375

Other identifiers 2

IdentifierTypeStateIssuer
PA57438OtherMDCDS NUMBER
C0002744OtherMDMD LICENSE

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
I20130927000098 MD Practitioner - Physician Assistant 6901040294 Reassigns benefits to 1 organization
I20170403000886 DC Practitioner - Physician Assistant 6901040294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

1185 Imperial Dr
Suite 201
Hagerstown, MD 21740-6673
Phone (443) 351-3376

180 Admiral Cochrane Dr
Annapolis, MD 21401-8405
Phone (410) 263-5439

410 Meadow Creek Dr
Suite 205
Westminster, MD 21158-9455
Phone (301) 829-4185

5977 Exchange Dr
Suite C D
Sykesville, MD 21784-9265
Phone (301) 829-4185

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Anne Arundel Dermatology, P.a. PastSince Aug 11, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205045952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WATERSVILLE RD",
            "address_2": "STE 2",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715513",
            "telephone_number": "301-345-7375",
            "fax_number": "301-345-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 GREENBELT RD",
            "address_2": "SUITE 504",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702037",
            "telephone_number": "301-345-7375",
            "fax_number": "301-345-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS NUMBER",
            "identifier": "PA57438",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "C0002744",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.