Individual provider Active NPI

Anna Elizabeth Docktor, PA-C

  • Physician Assistant
  • Glenn Dale, MD
National Provider Identifier
1245863257
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
12150 Annapolis Rd Ste 300
Glenn Dale, MD 20769-9183
Phone
(301) 249-5384
Fax
(301) 249-6047
NPI assigned
Feb 18, 2020
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

12150 Annapolis Rd Ste 300
Glenn Dale, MD 20769-9183

Mailing address

877 Baltimore Annapolis Blvd Ste 112
Severna Park, MD 21146-4701
Phone (443) 909-5913

Other practice location 1

877 Baltimore Annapolis Blvd Ste 112
Severna Park, MD 21146-4701
Phone (443) 909-5913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MD, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200624002249 CO Practitioner - Physician Assistant 6406278209 Reassigns benefits to 1 organization
I20240718000740 MD Practitioner - Physician Assistant 6406278209 Reassigns benefits to 1 organization
I20240917002194 DC Practitioner - Physician Assistant 6406278209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Doctors First, LLCGroup PAC ID 3870661978, 58 clinicians

Practice addresses (Care Compare)

12150 Annapolis Rd
Suite 300
Glenn Dale, MD 20769-9183
Phone (301) 249-5384

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

877 Baltimore Annapolis Blvd
Suite 112
Severna Park, MD 21146-4701
Phone (301) 515-2901

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Community Health Center Inc CurrentSince Jul 20, 2020 Accepting new patients
Privia Care Center LLC CurrentSince Jul 29, 2024 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Jul 20, 2020 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

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

12150 Annapolis Rd
Ste 300
Glenn Dale, MD 20769
Phone (301) 249-5384

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: anna.inserra.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1245863257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 BALTIMORE ANNAPOLIS BLVD STE 112",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464701",
            "telephone_number": "443-909-5913",
            "fax_number": "866-701-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 300",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-249-5384",
            "fax_number": "301-249-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 Baltimore Annapolis Blvd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211464701",
            "country_code": "US",
            "telephone_number": "443-909-5913",
            "fax_number": "866-701-4905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKTOR",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

Verify at the official NPI Registry.