Active NPI
Debra L Hollenshade, PA
- Physician Assistant
- Baltimore, MD
National Provider Identifier
1891754263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0000497
- Practice address
- 6701 N Charles St
Baltimore, MD 21204-6808 - Phone
- (443) 849-2136
- NPI assigned
- Mar 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0000497 | MD | Primary |
Addresses
Primary practice location
6701 N Charles St
Baltimore, MD 21204-6808
Mailing address
6701 N Charles St
Towson, MD 21204-6808
Phone (443) 849-2136
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, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
827 Linden Ave
Baltimore, MD 21201-4606
Hospital & facility affiliations
- University of MD Medical Center Midtown Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.55 of 100
- Quality
- 81.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0000497 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland General Clinical Practice Group, Inc. | Current | Accepting new patients | |
| Harbor Hospital | Past | Accepting new patients | |
| Medstar Harbor Hospital Physicians LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100
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.
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1770684805
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1689413197
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1831110873
-
- General Practice Physician
- Baltimore, MD
- NPI 1386067783
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1891754263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"city": "TOWSON",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "443-849-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "443-849-2136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLENSHADE",
"first_name": "DEBRA",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0000497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.