MRS. KELSEY BRIANNA SUPPA PA-C
NPI 1053700815
Physician Assistant in Glen Burnie, MD

Active since January 16, 2015PECOS Enrolled
301 HOSPITAL DR, GLEN BURNIE, MD 21061(410) 787-4000 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kelsey Brianna Suppa Pa-c NPPES

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

MRS. KELSEY BRIANNA SUPPA PA-C (NPI 1053700815) is an individual physician assistant in Glen Burnie, Maryland and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053700815
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KELSEY BRIANNA SUPPACredential: PA-C
Location Address301 HOSPITAL DRGlen Burnie, MD 21061
Mailing Address1306 Oak RdSeverna Park, MD 21146-3402 · (410) 491-2212
Sole ProprietorYes
Enumeration DateJanuary 16, 2015
Last NPPES UpdateNovember 6, 2023
NPI 1053700815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License C0005671 (MD)
301 HOSPITAL DR, Glen Burnie, MD 21061

Other Names 1

Former Name (1)Kelsey Brianna Suppa Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Kelsey Brianna Suppa Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services39 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Pharmacist (Ambulatory Care)
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Nurse Anesthetist, Certified Registered
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Nurse Practitioner (Acute Care)
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Pediatrics
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Physician Assistant (Surgical)
301 HOSPITAL DR, SUITE 803
GLEN BURNIE, MD 21061
Obstetrics & Gynecology
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Surgery
301 HOSPITAL DR
GLEN BURNIE, MD 21061
Emergency Medicine
301 HOSPITAL DR
GLEN BURNIE, MD 21061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Suppa's NPI number?

The NPI number for Kelsey Suppa is 1053700815. It was assigned to this individual provider in the NPPES registry on January 16, 2015. The provider is also known as Kelsey Brianna Suppa Pa-C.

Where is Kelsey Suppa located?

Kelsey Suppa practices at 301 Hospital Dr, Glen Burnie, MD 21061. The listed phone number is (410) 787-4000.

What is Kelsey Suppa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsey Suppa enrolled in Medicare?

Yes. Kelsey Suppa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Suppa was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.