NPIMap

Individual provider Active NPI

Bethany Amaris Carbaugh, PA-C

  • Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1578058988
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C06855 Issued in MD
Practice address
17 Western Maryland Pkwy Ste 100
Hagerstown, MD 21740-5471
Phone
(301) 797-9240
Fax
(301) 797-4234
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA062413 PA
Physician Assistant 363A00000X C06855 MD Primary

Addresses

Primary practice location

17 Western Maryland Pkwy Ste 100
Hagerstown, MD 21740-5471

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (301) 797-9240

Other names 1

  • Bethany Amaris Magner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201111000676 MD Practitioner - Physician Assistant 1456761055 Reassigns benefits to 1 organization

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
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

13 Western Maryland Pkwy
202 Wellspan Rehabilitation Services
Hagerstown, MD 21740-6474
Phone (301) 797-9240

17 Western Maryland Pkwy
Hagerstown, MD 21740-5471
Phone (301) 797-9240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C06855MDMDPhysician Assistant
MA062413PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Apr 25, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Apr 25, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Meritus Medical Center Inc Past Accepting new patients

Locations

17 Western Maryland Pkwy
Ste 100
Hagerstown, MD 21740
Phone (301) 797-6389

52 Water St
Thurmont, MD 21788
Phone (301) 271-3535

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: bcarbaugh272535@wellspan.direct-ci.com

Organizations & group practices 5

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 8

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1578058988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "301-797-9240",
            "fax_number": "301-797-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WESTERN MARYLAND PKWY STE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405471",
            "telephone_number": "301-797-9240",
            "fax_number": "301-797-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAUGH",
        "first_name": "BETHANY",
        "middle_name": "AMARIS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062413",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "MAGNER",
            "middle_name": "AMARIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.