Active NPI
Rebecca Carolyn Charnley, PA-C
- Physician Assistant
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0007559
- Practice address
- 3430 Worthington Blvd
Frederick, MD 21704-7017 - Phone
- (240) 215-6310
- NPI assigned
- Feb 3, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-10449 | NC | |
| Physician Assistant | 363A00000X | C0007559 | MD | Primary |
Addresses
Primary practice location
3430 Worthington Blvd
Frederick, MD 21704-7017
Mailing address
PO Box 37086
Baltimore, MD 21297-3086
Phone (240) 439-8812
Other practice location 1
220 Red Mulberry Way Apt 5
Charleston, WV 25306-6320
Phone (443) 974-8624
Other practice location 2
3745 Sykesville Rd
Sykesville, MD 21784-9542
Phone (443) 974-8624
Other practice location 3
461 Western Blvd Ste 122
Jacksonville, NC 28546-7637
Phone (910) 333-0283
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Frederick Health Hospital Inc
Practice addresses (Care Compare)
187 Thomas Johnson Dr
Frederick, MD 21702-4503
3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310
400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 215-6310
Hospital & facility affiliations
- Frederick Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.07 of 100
- Quality
- 75.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0007559 | MD | MD | Physician Assistant |
| 0010-10449 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Frederick Health Medical Group LLC | Past | Accepting new patients |
Locations
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
3430 Worthington Blvd
Urbana, MD 21704
Phone (240) 874-2530
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Frederick, MD
- NPI 1619258225
-
- Physical Therapist
- Frederick, MD
- NPI 1548290224
-
- Family Medicine Physician
- Frederick, MD
- NPI 1093539579
-
- Family Medicine Physician
- Mount Airy, MD
- NPI 1114771862
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1699306159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37086",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973086",
"telephone_number": "240-439-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 WORTHINGTON BLVD",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047017",
"telephone_number": "240-215-6310"
}
],
"practiceLocations": [
{
"address_1": "220 Red Mulberry Way Apt 5",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253066320",
"country_code": "US",
"telephone_number": "443-974-8624",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3745 Sykesville Rd",
"address_purpose": "LOCATION",
"city": "Sykesville",
"state": "MD",
"postal_code": "217849542",
"country_code": "US",
"telephone_number": "443-974-8624",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "461 Western Blvd Ste 122",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285467637",
"country_code": "US",
"telephone_number": "910-333-0283",
"fax_number": "910-333-0513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARNLEY",
"first_name": "REBECCA",
"middle_name": "CAROLYN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-10449",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0007559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.