Individual provider Active NPI

Rebecca Carolyn Charnley, PA-C

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1699306159
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007559 Issued in MD
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

Updated by the provider on Nov 16, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202000264 MD Practitioner - Physician Assistant 2860819885 Reassigns benefits to 1 organization

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
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Frederick Health Hospital IncGroup PAC ID 0446149256, shared by 8 NPIs, 127 clinicians
Frederick Health Medical Group LLCGroup PAC ID 9931341096, 200 clinicians

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 Hospital, Frederick, MD, CCN 210005

Merit-based Incentive Payment System (MIPS)

Final score
83.07 of 100Reported as group
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

LicenseStateTypeSpecialty
C0007559MDMDPhysician Assistant
0010-10449NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Dec 1, 2021 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Dec 1, 2021 Accepting new patients
Frederick Health Hospital Inc PastSince Sep 1, 2020 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.