Individual provider Active NPI

Brittany Anne Iseminger-Smith, PA-C, ATC

  • Physician Assistant
  • Martinsburg, WV
National Provider Identifier
1417403114
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009524 Issued in MD
Practice address
499 Campus Dr
Martinsburg, WV 25404-7534
Phone
(240) 291-8648
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A00548 MD
Athletic Trainer 2255A2300X AT001377 WV
Physician Assistant 363A00000X C0009524 MD Primary

Addresses

Primary practice location

499 Campus Dr
Martinsburg, WV 25404-7534

Mailing address

80 Tuckahoe TRL
Hedgesville, WV 25427-5593
Phone (240) 291-8648

Other names 1

  • Brittany Anne Iseminger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20241024003270 MD Practitioner - Physician Assistant 1052844347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
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

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

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

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
  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A00548MDMDOccupational Therapy Assistant
AT001377WVMDAthletic Trainer
C0009524MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Practices of Antietam LLC CurrentSince Oct 28, 2024 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Oct 28, 2024 Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

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

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

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

Organizations & group practices 4

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1417403114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 TUCKAHOE TRL",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254275593",
            "telephone_number": "240-291-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 CAMPUS DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254047534",
            "telephone_number": "240-291-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISEMINGER-SMITH",
        "first_name": "BRITTANY",
        "middle_name": "ANNE",
        "credential": "PA-C, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A00548",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001377",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "ISEMINGER",
            "middle_name": "ANNE",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.