Individual provider Active NPI

Jaimie Wotell, P.A.

  • Medical Physician Assistant
  • Millersville, MD
National Provider Identifier
1740530500
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0004840 Issued in MD
Practice address
231 Najoles Rd Ste 300
Millersville, MD 21108-2659
Phone
(443) 351-3376
Fax
(443) 494-2303
NPI assigned
Sep 19, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 C0004840 MD Primary

Addresses

Primary practice location

231 Najoles Rd Ste 300
Millersville, MD 21108-2659

Mailing address

1306 Concourse Dr Ste 201
Linthicum, MD 21090-1033
Phone (443) 351-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20130227000298 DC Practitioner - Physician Assistant 4880849637 Reassigns benefits to 1 organization
I20130415000396 MD Practitioner - Physician Assistant 4880849637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

180 Admiral Cochrane Dr
Annapolis, MD 21401-8405
Phone (410) 263-5439

231 Najoles Rd
Suite 300
Millersville, MD 21108-2670
Phone (443) 351-3376

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology, P.a. CurrentSince Aug 11, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

231 Najoles Rd
Ste 300
Millersville, MD 21108
Phone (443) 837-7770

Interoperability endpoints

  • Direct secure messaging: jwotell@aadermaffiliates.emadirect.md

Organizations & group practices 3

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740530500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 CONCOURSE DR STE 201",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210901033",
            "telephone_number": "443-351-3376",
            "fax_number": "410-431-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NAJOLES RD STE 300",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082659",
            "telephone_number": "443-351-3376",
            "fax_number": "443-494-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOTELL",
        "first_name": "JAIMIE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.