Individual provider Active NPI

Charlotte Lanphear

  • Medical Physician Assistant
  • Lutherville, MD
National Provider Identifier
1497220826
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C06986 Issued in MD
Practice address
1447 York Rd Ste 102
Lutherville, MD 21093-6017
Phone
(667) 214-1171
Fax
(410) 337-5107
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C06986 MD Primary

Addresses

Primary practice location

1447 York Rd Ste 102
Lutherville, MD 21093-6017

Mailing address

6071 Otterbein LN Apt 201
Ellicott City, MD 21043-7603
Phone (410) 652-8170

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
I20190109001503 MD Practitioner - Physician Assistant 6305182528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland Dermatologists PAGroup PAC ID 7810888484, 17 clinicians

Practice addresses (Care Compare)

419 W Redwood St
Suite 160
Baltimore, MD 21201-1782
Phone (410) 238-8025

Merit-based Incentive Payment System (MIPS)

Final score
98.17 of 100Reported as group
Quality
96.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C06986MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Dermatologists PA CurrentSince Jan 6, 2025 Accepting new patients

Locations

419 W Redwood St
Ste 160
Baltimore, MD 21201
Phone (410) 328-3167

1447 York Rd
Ste 102
Lutherville, MD 21093
Phone (667) 214-1171

Interoperability endpoints

  • Direct secure messaging: clanphear1233550@direct.umm.edu

Organizations & group practices 3

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": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1497220826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 OTTERBEIN LN APT 201",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437603",
            "telephone_number": "410-652-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 YORK RD STE 102",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936017",
            "telephone_number": "667-214-1171",
            "fax_number": "410-337-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANPHEAR",
        "first_name": "CHARLOTTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C06986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.