KELLY HAUSENBAUER P.A.
NPI 1053695304
Physician Assistant - Medical in Frederick, MD

Q: What is Kelly Hausenbauer's NPI number?

The NPI number for Kelly Hausenbauer is 1053695304. It was assigned to this individual provider in the NPPES registry on October 5, 2011.

Q: What is Kelly Hausenbauer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Hausenbauer was last updated on October 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 05, 2011PECOS EnrolledAccepts Medicare Assignment

63.49/100

CMS Quality Rating

310 W NINTH ST, FREDERICK, MD 21701(301) 695-6800(301) 695-6891 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Kelly Hausenbauer P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY HAUSENBAUER P.A. (NPI 1053695304) is an individual medical provider in Frederick, Maryland, licensed in Maryland (C0004612) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1053695304

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKELLY HAUSENBAUERCredential: P.A.

Location Address310 W NINTH STFrederick, MD 21701-4546

Mailing Address310 W Ninth StFrederick, MD 21701-4546 · (301) 695-6800 · Fax (301) 695-6891

Phone(301) 695-6800

Fax(301) 695-6891

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 5, 2011

✔ NPI 1053695304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MD · C0004612

310 W NINTH ST, Frederick, MD 21701

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Hausenbauer P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608049242

PECOS Enrollment IDI20111027000314

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

125 services110 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

106 services106 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

87 services86 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

28 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210005

Location400 West Seventh StFrederick, MD 21701 · Frederick County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

63.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.15

Promoting Interoperability

Improvement Activities

Cost

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEAN EDWARD HUNT M.D.

Internal Medicine (Gastroenterology)