Individual provider Active NPI

Amy Elaine Reisman, PA-C

  • Medical Physician Assistant
  • Laurel, MD
National Provider Identifier
1558522334
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003776 Issued in MD
Practice address
7300 Van Dusen Rd
Laurel, MD 20707-9463
Phone
(301) 725-4300
Fax
(610) 834-2862
NPI assigned
Jun 24, 2008
Last updated
Aug 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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 C0003776 MD Primary

Addresses

Primary practice location

7300 Van Dusen Rd
Laurel, MD 20707-9463

Mailing address

100 Witmer Rd
Suite 220
Horsham, PA 19044-2211

Other names 1

  • Amy Elain Barnett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, 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
I20090129000531 DC Practitioner - Physician Assistant 1850455247 Reassigns benefits to 2 organizations
I20090331000145 MD Practitioner - Physician Assistant 1850455247 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, PA CurrentSince Dec 1, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2021 Accepting new patients
WHC Emerg Phys CurrentSince Jun 1, 2021 Accepting new patients
WHC Physician Group LLC CurrentSince Jun 1, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 1, 2016 Accepting new patients
University of Maryland Charles Regional Urgent Care, LLC Past Accepting new patients
Contee Emergency Physicians Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1558522334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WITMER RD",
            "address_2": "SUITE 220",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 VAN DUSEN RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079463",
            "telephone_number": "301-725-4300",
            "fax_number": "610-834-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISMAN",
        "first_name": "AMY",
        "middle_name": "ELAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BARNETT",
            "middle_name": "ELAIN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.