Individual provider Active NPI

Lindsey Breann Robertson, PA-C

  • Physician Assistant
  • Keyser, WV
National Provider Identifier
1396536959
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
100 Pin Oak LN
Keyser, WV 26726-5908
Phone
(304) 597-3500
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

100 Pin Oak LN
Keyser, WV 26726-5908

Mailing address

100 Pin Oak LN
Keyser, WV 26726-5908

Other practice location 1

251 N 4th St
Oakland, MD 21550-1375
Phone (301) 533-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 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
I20250905002449 WV Practitioner - Physician Assistant 7214439587 Reassigns benefits to 1 organization
I20251009002027 MD Practitioner - Physician Assistant 7214439587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500

251 N 4TH St
Oakland, MD 21550-1375

880 Memorial Dr Level
Oakland, MD 21550-5101
Phone (301) 334-1177

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Garrett County, LLC Current Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Aug 1, 2025 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Jul 9, 2025 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Aug 1, 2025 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Jul 9, 2025 Accepting new patients
Potomac Valley Hospital of W VA, Inc Past Accepting new patients

Locations

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

Organizations & group practices 6

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 3

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": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1396536959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PIN OAK LN",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267265908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIN OAK LN",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267265908",
            "telephone_number": "304-597-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215501375",
            "country_code": "US",
            "telephone_number": "301-533-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LINDSEY",
        "middle_name": "BREANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

Verify at the official NPI Registry.