NPIMap

Individual provider Active NPI

Lydia Charlotte Gladfelter, PA

  • Physician Assistant
  • Bel Air, MD
National Provider Identifier
1396454328
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C08738 Issued in MD
Practice address
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone
(443) 643-2000
NPI assigned
Nov 17, 2022
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X C08738 MD Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324

Mailing address

104 Ferry LN Apt 210
Bel Air, MD 21014-4559
Phone (717) 793-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230306000065 MD Practitioner - Physician Assistant 2769855196 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adfinitas Health at Upper Chesapeake LLCGroup PAC ID 6305202540, 77 clinicians
Adfinitas Health at Upper Chesapeake Aberdeen LLCGroup PAC ID 8022475581, 44 clinicians

Practice addresses (Care Compare)

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

660 McHenry Rd
Aberdeen, MD 21001-2682
Phone (443) 843-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
80.89
Improvement activities
40
Cost
75.39

Merit-based Incentive Payment System (MIPS)

Final score
73.85 of 100Reported as group
Quality
61.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Medical Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lgladfelter980978@direct.umm.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1396454328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FERRY LN APT 210",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144559",
            "telephone_number": "717-793-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADFELTER",
        "first_name": "LYDIA",
        "middle_name": "CHARLOTTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C08738",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.