Individual provider Active NPI

Charmaine Pfinayi

  • Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1750259552
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0010215 Issued in MD
Practice address
1125 Diamond Dr
Hagerstown, MD 21740-5857
Phone
(301) 790-1482
NPI assigned
Oct 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0010215 MD Primary

Addresses

Primary practice location

1125 Diamond Dr
Hagerstown, MD 21740-5857

Mailing address

8224 Gallery CT
Gaithersburg, MD 20886-5618
Phone (240) 364-4350

Other practice location 1

2718 W Roscoe St
Chicago, IL 60618-5910
Phone (773) 961-3000

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
I20260206000301 MD Practitioner - Physician Assistant 6204315633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Practices of Antietam, LLCGroup PAC ID 2567353865, 229 clinicians

Practice addresses (Care Compare)

1125 Diamond Dr
Hagerstown, MD 21740-5857
Phone (301) 790-1482

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0010215MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Practices of Antietam, LLC CurrentSince Jan 27, 2026 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jan 27, 2026 Accepting new patients

Locations

1125 Diamond Dr
Hagerstown, MD 21740
Phone (301) 790-1482

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

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": "1761264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1750259552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 GALLERY CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208865618",
            "telephone_number": "240-364-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 DIAMOND DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405857",
            "telephone_number": "301-790-1482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2718 W Roscoe St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606185910",
            "country_code": "US",
            "telephone_number": "773-961-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFINAYI",
        "first_name": "CHARMAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-24",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0010215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.