NPIMap

Individual provider Active NPI

Melissa J Short, PA-C

  • Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1578617908
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003459 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
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 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 MA053797 PA
Physician Assistant 363A00000X C0003459 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, WV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070305000484 MD Practitioner - Physician Assistant 9335242734 Reassigns benefits to 3 organizations
I20090312000453 PA Practitioner - Physician Assistant 9335242734 Reassigns benefits to 1 organization
I20241007001469 WV Practitioner - Physician Assistant 9335242734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

13 Western Maryland Pkwy
106 Wvu Medicine Brain and Spine
Hagerstown, MD 21740-6474
Phone (240) 513-4591

13079 Garrett Hwy
Uha Oakland CKD Clinic
Oakland, MD 21550
Phone (304) 598-4800

61 Campus Dr
Martinsburg, WV 25404-7542

RT 7 Box
Suite 1495
Oakland, MD 21550
Phone (301) 334-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2686WVMDProfessional Counselor
C0003459MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Apr 25, 2021 Accepting new patients
Wellspan Medical Group Physician Assistant CurrentSince May 6, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 26, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Apr 25, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 26, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

13 Western Maryland Pkwy
Ste 106
Hagerstown, MD 21740
Phone (240) 513-4591

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

22 St Paul Dr
Ste 102
Chambersburg, PA 17201

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

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

61 Campus Dr
Ste 300
Martinsburg, WV 25404
Phone (304) 264-0704

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

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 5

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1578617908",
    "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": "SHORT",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053797",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.