Faurn Sharmbri Harrison, PA
Individual provider Active NPI Medical Physician Assistant · Bowie, MD
NPI 1609097302 · NPPES record last updated Mar 7, 2022
Key facts
- NPI
- 1609097302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- C0003081 (MD)
- Practice address
- 16900 Science Dr
Suite 100
Bowie, MD 20715-4401 - Phone
- (301) 464-7008
- Fax
- (301) 464-7011
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Pain Management, LLC
Practice addresses (Care Compare)
1150 Professional CT P
Hagerstown, MD 21740-4100
Phone (301) 850-2768
11921 Rockville Pike
Rockville, MD 20852-2758
Phone (301) 881-7246
16900 Science Dr
Suite 100
Bowie, MD 20715-4423
Phone (301) 464-7008
7120 Minstrel Way
Suite 106
Columbia, MD 21045-5274
Phone (410) 290-9191
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091203000578 | MD | Practitioner - Physician Assistant | 4284773227 | Reassigns benefits to 1 organization |
| I20160113001097 | DC | Practitioner - Physician Assistant | 4284773227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0003081 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Pain Management, LLC | Current |
Accepting new patients | |
| Center for Pain Management, LLC | Past | Accepting new patients |
Locations
510 Upper Chesapeake Dr
Ste 415
Bel Air, MD 21014
Phone (443) 643-3000
16900 Science Dr
Ste 100
Bowie, MD 20715
Phone (301) 464-7008
1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
11921 Rockville Pike
Ste 505
Rockville, MD 20852
Phone (301) 881-7246
Interoperability endpoints
- fharrison@treatingpain.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0003081 | MD | Yes |
Addresses
Primary practice location
16900 Science Dr
Suite 100
Bowie, MD 20715-4401
Mailing address
11350 McCormick Rd
Executive Plaza I, Suite 501
Hunt Valley, MD 21031-1002
Phone (301) 464-7008
Other names
- Faurn Sharmbri Rouse
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fharrison@treatingpain.emadirect.md |
Other providers in Bowie, MD
- Harris Teeter LLC
- Dayshelle Harris
- Justice Harris
- Lyndani Harris
- Michael Monroe Harris
- Jessica Lynn Hart
- Laura Elizabeth Hartman
- Tara Marie Hatfield
- Havenhome, Inc
- Crystal Hawkins
All providers in Bowie, MD · Medical Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.