NPIMap

Individual provider Active NPI

Scottie Danielle Berk

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1972010726
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C06680 Issued in MD
Practice address
1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone
(240) 215-6310
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 C06680 MD Primary

Addresses

Primary practice location

1562 Opossumtown Pike
Frederick, MD 21702-4920

Mailing address

PO Box 37086
Baltimore, MD 21297-3086
Phone (240) 439-8812

Other practice location 1

5601 Loch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-4720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180502000483 MD Practitioner - Physician Assistant 9830453695 Reassigns benefits to 1 organization
I20251016002640 PA Practitioner - Physician Assistant 9830453695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 851-2443

Hospital & facility affiliations

  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C06680MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Nov 3, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Nov 3, 2025 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
Wellspan Medical Group Physician Assistant Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

175 Martin Ave
Ste 105
Ephrata, PA 17522
Phone (717) 466-5420

455 S Washington St
Ste 22
Gettysburg, PA 17325
Phone (717) 339-2326

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

845 Helen Dr
#200
Lebanon, PA 17042
Phone (717) 466-5420

35 Monument Rd
Ste 204
York, PA 17403
Phone (717) 851-1990

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: sberk526667@wellspan.direct-ci.com

Organizations & group practices 8

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 8

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": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1972010726",
    "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": "1562 OPOSSUMTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024920",
            "telephone_number": "240-215-6310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Loch Raven Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212392945",
            "country_code": "US",
            "telephone_number": "443-444-4720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERK",
        "first_name": "SCOTTIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.