Individual provider Active NPI

Margaret Mackenzie Shea, PA-C

  • Physician Assistant
  • Germantown, MD
National Provider Identifier
1356839849
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C06863 Issued in MD
Practice address
20410 Observation Dr Ste 102
Germantown, MD 20876-6424
Phone
(202) 835-2222
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C06863 MD Primary
Physician Assistant 363A00000X PA031663 DC

Addresses

Primary practice location

20410 Observation Dr Ste 102
Germantown, MD 20876-6424

Mailing address

20410 Observation Dr Ste 102
Germantown, MD 20876-6424
Phone (202) 835-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20180814003013 DC Practitioner - Physician Assistant 2264781921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA031663DCMDPhysician Assistant
C06863MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 11, 2019 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Jul 10, 2018 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Jul 10, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 11, 2019 Accepting new patients
Centers for Advanced Orthopaedics, LLC Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Centers for Advanced Orthopaedics, LLC Past Accepting new patients

Locations

2112 F St NW
Ste 305
Washington, DC 20037
Phone (202) 251-7232

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

10215 Fernwood Rd
Bethesda, MD 20817
Phone (301) 312-8406

12850 Middlebrook Rd
Ste 307
Germantown, MD 20874
Phone (301) 972-4752

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

14995 Shady Grove Rd
Ste 350
Rockville, MD 20850
Phone (301) 294-0050

Interoperability endpoints

  • Direct secure messaging: 28mshea@cfaortho.emadirect.md

Organizations & group practices 8

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1356839849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR STE 102",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766424",
            "telephone_number": "202-835-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR STE 102",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766424",
            "telephone_number": "202-835-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MARGARET",
        "middle_name": "MACKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06863",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.