Individual provider Active NPI

Virginia Noftsier, PA-C

  • Medical Physician Assistant
  • Waldorf, MD
National Provider Identifier
1598028649
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0005634 Issued in MD
Practice address
11637 Terrace Dr
Suite 100
Waldorf, MD 20602-3706
Phone
(301) 870-7287
Fax
(301) 870-0687
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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 C0005634 MD Primary

Addresses

Primary practice location

11637 Terrace Dr
Suite 100
Waldorf, MD 20602-3706

Mailing address

11637 Terrace Dr
Suite 100
Waldorf, MD 20602-3706
Phone (301) 870-7287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160302000043 DC Practitioner - Physician Assistant 4284881053 Reassigns benefits to 5 organizations
I20160317000444 MD Practitioner - Physician Assistant 4284881053 Reassigns benefits to 6 organizations
I20191002003472 VA Practitioner - Physician Assistant 4284881053

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdics Rehabilitative Services LLCGroup PAC ID 4981861903, 25 clinicians

Practice addresses (Care Compare)

10200 La Plata Rd
La Plata, MD 20646-3245
Phone (443) 949-0814

10210 La Plata Rd
La Plata, MD 20646-3245
Phone (443) 949-8814

121 Morris Dr
La Plata, MD 20646-4254
Phone (443) 949-0814

Hospital & facility affiliations

  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0005634MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Mar 1, 2016 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Mar 1, 2016 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Mar 14, 2016 Accepting new patients
Mdics Rehabilitative Services - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients
Mdics at Civista LLC CurrentSince Mar 14, 2016 Accepting new patients
Conestoga Emergency Physicians LLC Past Accepting new patients
New Jersey/Pennsylvania Em-I Medical Services, P.C. Past Accepting new patients
Red Rose Emergency Physicians LLC Past Accepting new patients
Pediatrix Medical Group of the Mid-Atlantic PC Past Accepting new patients

Locations

3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

7250 Parkway Dr
Ste 500
Hanover, MD 21076
Phone (410) 999-1130

121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700

Organizations & group practices 13

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.

View all 13

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1598028649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR",
            "address_2": "SUITE 100",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023706",
            "telephone_number": "301-870-7287",
            "fax_number": "301-870-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR",
            "address_2": "SUITE 100",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023706",
            "telephone_number": "301-870-7287",
            "fax_number": "301-870-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFTSIER",
        "first_name": "VIRGINIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0005634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.