Individual provider Active NPI

McKayla E Cartagena, PA-C

  • Physician Assistant
  • Chester, MD
National Provider Identifier
1790409977
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009029 Issued in MD
Practice address
1630 Main St Ste 101
Chester, MD 21619-2792
Phone
(410) 604-6560
Fax
(410) 643-5789
NPI assigned
Sep 30, 2022
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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 C0009029 MD Primary

Addresses

Primary practice location

1630 Main St Ste 101
Chester, MD 21619-2792

Mailing address

1630 Main St Ste 101
Chester, MD 21619-2792

Other practice location 1

520 W Fayette St
Baltimore, MD 21201-1781
Phone (410) 837-9379

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
I20230911001059 MD Practitioner - Physician Assistant 8325402373 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0009029MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Sep 18, 2023 Accepting new patients
Choptank Community Health System Inc CurrentSince Sep 18, 2023 Accepting new patients
Choptank Community Health System Inc Past Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

Interoperability endpoints

  • Direct secure messaging: mckayla.kelly.1@20853.direct.athenahealth.com

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": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1790409977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MAIN ST STE 101",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MAIN ST STE 101",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192792",
            "telephone_number": "410-604-6560",
            "fax_number": "410-643-5789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 W Fayette St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011781",
            "country_code": "US",
            "telephone_number": "410-837-9379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTAGENA",
        "first_name": "MCKAYLA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, MD

Sources for this page

Verify at the official NPI Registry.