NPIMap

Individual provider Active NPI

Kelsey McGillivray, PA-C

  • Physician Assistant
  • Clinton, MD
National Provider Identifier
1578109591
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007402 Issued in MD
Practice address
7501 Surratts Rd Ste 301
Clinton, MD 20735-3377
Phone
(301) 877-5607
NPI assigned
Nov 25, 2019
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 C0007402 MD Primary

Addresses

Primary practice location

7501 Surratts Rd Ste 301
Clinton, MD 20735-3377

Mailing address

7501 Surratts Rd Ste 301
Clinton, MD 20735-3377
Phone (301) 877-5607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200131000702 MD Practitioner - Physician Assistant 4486080975 Reassigns benefits to 2 organizations
I20200131001671 DC Practitioner - Physician Assistant 4486080975 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

7501 Surratts Rd
Clinton, MD 20735-3362
Phone (301) 877-7353

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
C0007402MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Dec 22, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2023 Accepting new patients
MNR Industries, LLC CurrentSince Dec 22, 2019 Accepting new patients
WHC Emerg Phys CurrentSince Nov 1, 2021 Accepting new patients
Dimensions Healthcare Associates, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Jul 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2023 Accepting new patients
MNR Industries, LLC CurrentSince Dec 22, 2019 Accepting new patients
Medstar Medical Group II LLC 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

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

5 Bel Air South Pkwy
Ste 1535
Bel Air, MD 21015
Phone (410) 569-0044

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

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

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

18101 Prince Philip Dr
#6100
Olney, MD 20832

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

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1578109591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 SURRATTS RD STE 301",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353377",
            "telephone_number": "301-877-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 SURRATTS RD STE 301",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353377",
            "telephone_number": "301-877-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLIVRAY",
        "first_name": "KELSEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.