Individual provider Active NPI

Faurn Sharmbri Harrison, PA

  • Medical Physician Assistant
  • Bowie, MD
National Provider Identifier
1609097302
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003081 Issued in 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
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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 C0003081 MD Primary

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 1

  • Faurn Sharmbri Rouse Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fharrison@treatingpain.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20091203000578 MD Practitioner - Physician Assistant 4284773227 Reassigns benefits to 1 organization
I20160113001097 DC Practitioner - Physician Assistant 4284773227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Pain Management, LLCGroup PAC ID 0547246555, 38 clinicians

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 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pain Management, LLC CurrentSince Oct 20, 2015 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

  • Direct secure messaging: fharrison@treatingpain.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1609097302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA I, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "301-464-7008",
            "fax_number": "301-464-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16900 SCIENCE DR",
            "address_2": "SUITE 100",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154401",
            "telephone_number": "301-464-7008",
            "fax_number": "301-464-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "FAURN",
        "middle_name": "SHARMBRI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fharrison@treatingpain.emadirect.md",
            "affiliation": "N",
            "address_1": "16900 Science Dr",
            "address_2": "SUITE 100",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207154401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FAURN",
            "last_name": "ROUSE",
            "middle_name": "SHARMBRI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.