Individual provider Active NPI

Heather L Seavolt-Michael, PA-C

  • Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1265586341
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003468 Issued in MD
Practice address
13620 Crayton Boulevard
Hagerstown, MD 21742-2685
Phone
(240) 313-9890
Fax
(240) 313-9891
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 C0003468 MD Primary

Addresses

Primary practice location

13620 Crayton Boulevard
Hagerstown, MD 21742-2685

Mailing address

12634 Knepper Rd
Clear Spring, MD 21722-1438
Phone (240) 818-8496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 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
I20070306000133 MD Practitioner - Physician Assistant 6800999251 Reassigns benefits to 1 organization
I20210810002216 VA Practitioner - Physician Assistant 6800999251

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Medical Practices of Antietam, LLCGroup PAC ID 2567353865, 229 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

11110 Medical Campus Rd
Hagerstown, MD 21742-6727

13620 Crayton Blvd
Hagerstown, MD 21742-2335
Phone (240) 313-9890

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

3 Byrkit Dr
Williamsport, MD 21795-1158
Phone (301) 582-1150

Hospital & facility affiliations

  • Home Call Home health agency, Frederick, MD, CCN 217040
  • Meritus Medical Center, Inc Home health agency, Hagerstown, MD, CCN 217085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0003468MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Urgent Care LLC CurrentSince Dec 24, 2014 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jan 1, 2009 Accepting new patients
Recover Together, LLC CurrentSince Jul 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients

Locations

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

13424 Pennsylvania Ave
Ste 101
Hagerstown, MD 21742
Phone (301) 370-6688

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

6212 Jefferson Ave
Newport News, VA 23605

Interoperability endpoints

  • Direct secure messaging: heather.seavoltmichael@398008301912068.direct.elationemr.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1265586341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12634 KNEPPER RD",
            "city": "CLEAR SPRING",
            "state": "MD",
            "postal_code": "217221438",
            "telephone_number": "240-818-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 CRAYTON BOULEVARD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422685",
            "telephone_number": "240-313-9890",
            "fax_number": "240-313-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAVOLT-MICHAEL",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.