Individual provider Active NPI

Karen J Scott, PA

  • Medical Physician Assistant
  • Annapolis, MD
National Provider Identifier
1689727141
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0002828 Issued in MD
Practice address
122 Defense Hwy Ste 210
Annapolis, MD 21401-7071
Phone
(410) 266-9694
Fax
(410) 266-9695
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 C0002051 MD
Medical Physician Assistant 363AM0700X C0002828 MD Primary

Addresses

Primary practice location

122 Defense Hwy Ste 210
Annapolis, MD 21401-7071

Mailing address

122 Defense Hwy Ste 210
Annapolis, MD 21401-7071
Phone (410) 266-9694

Other identifiers 1

IdentifierTypeStateIssuer
087575900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000838 MD Practitioner - Physician Assistant 4082606306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Hexter MD PAGroup PAC ID 0446338750, 7 clinicians

Practice addresses (Care Compare)

122 Defense Hwy
Suite 210
Annapolis, MD 21401-7071
Phone (410) 266-9694

130 Love Point Rd
Suite 107
Stevensville, MD 21666-2132
Phone (410) 266-9694

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0002051MDMDPhysician Assistant
C0002828MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Hexter MD PA CurrentSince Apr 12, 2021 Accepting new patients
Physical Medicine & Pain Management Associates, P.C. Past Accepting new patients

Locations

122 Defense Hwy
Ste 210
Annapolis, MD 21401
Phone (410) 266-9694

130 Love Point Rd
Ste 107
Stevensville, MD 21666
Phone (410) 266-9694

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1689727141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DEFENSE HWY STE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017071",
            "telephone_number": "410-266-9694",
            "fax_number": "410-266-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 DEFENSE HWY STE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017071",
            "telephone_number": "410-266-9694",
            "fax_number": "410-266-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KAREN",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002051",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087575900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.