Individual provider Active NPI

Lisa M Quarles, PA

  • Physician Assistant
  • Randallstown, MD
National Provider Identifier
1417993205
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002523 Issued in MD
Practice address
5401 Old Court Road
Northwest Hospital
Randallstown, MD 21133
Phone
(410) 521-5950
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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 C0002523 MD Primary

Addresses

Primary practice location

5401 Old Court Road
Northwest Hospital
Randallstown, MD 21133

Mailing address

5236 Kingsbrook Drive
Frederick, MD 21703
Phone (301) 696-1389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20041005000728 MD Practitioner - Physician Assistant 4486613577 Reassigns benefits to 2 organizations
I20130528000443 DC Practitioner - Physician Assistant 4486613577
I20240318001792 PA Practitioner - Physician Assistant 4486613577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

249 Hospital Dr
Everett, PA 15537-7020
Phone (814) 623-1166

283 Hospital Dr
Everett, PA 15537-7020
Phone (814) 623-1002

Hospital & facility affiliations

  • Upmc Bedford Memorial Hospital, Everett, PA, CCN 390117

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine Inc CurrentSince Feb 26, 2024 Accepting new patients
Upmc Community Medcine Inc CurrentSince Feb 26, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Randall Emergency Physicians LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Emergency Physician Associates, PA Past Accepting new patients

Locations

118 S Anderson St
Ste 1
Bedford, PA 15522
Phone (814) 623-2146

420 E Central Way
Bedford, PA 15522
Phone (814) 623-3474

249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: lquarles205366@upmc.direct-ci.com
  • Direct secure messaging: lisa.m.quarles@upmcdirect.com

Organizations & group practices 9

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1417993205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5236 KINGSBROOK DRIVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21703",
            "telephone_number": "301-696-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 OLD COURT ROAD",
            "address_2": "NORTHWEST HOSPITAL",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "21133",
            "telephone_number": "410-521-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARLES",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.