Active NPI
Mandy Nicole Fawcett, PA-C,
- Physician Assistant
- Catonsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C06237
- Practice address
- 910 Frederick Rd
Catonsville, MD 21228-4516 - Phone
- (410) 644-1880
- Fax
- (410) 646-3623
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C06237 | MD | Primary |
Addresses
Primary practice location
910 Frederick Rd
Catonsville, MD 21228-4516
Mailing address
910 Frederick Rd
Catonsville, MD 21228-4516
Phone (410) 644-1880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 86.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Orthopaedic Associates of Central Maryland, PA | Past | Accepting new patients |
Locations
201 Defense Hwy
Ste 150
Annapolis, MD 21401
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900
15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
910 Frederick Rd
Catonsville, MD 21228
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
6300 Georgetown Blvd
Ste 139
Sykesville, MD 21784
Interoperability endpoints
- https://api.platform.athenahealth.com/11237/brand/1/csg/1/fhir/r4
- 17mfawcett@cfaortho.emadirect.md
- mfawcett45281@direct.aahs.org
Organizations & group practices 10
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.
-
- Orthopaedic Surgery Physician
- Annapolis, MD
- NPI 1780824615
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
- Physical Therapist
- Marriottsville, MD
- NPI 1760158612
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Clinic/Center
- Annapolis, MD
- NPI 1780005249
-
- Surgical Oncology Physician
- Bowie, MD
- NPI 1851710552
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Orthopaedic Surgery Physician
- Columbia, MD
- NPI 1023269396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1669929451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 FREDERICK RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284516",
"telephone_number": "410-644-1880",
"fax_number": "410-646-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 FREDERICK RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284516",
"telephone_number": "410-644-1880",
"fax_number": "410-646-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWCETT",
"first_name": "MANDY",
"middle_name": "NICOLE",
"credential": "PA-C,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C06237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.