FREDERICK PRIMARY CARE ASSOCIATES, P.A.
NPI 1083411979
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD

Active since February 27, 2025CLIA 21D2328963 · Waiver
9093 RIDGEFIELD DR STE 104, FREDERICK, MD 21701(240) 913-5950 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Frederick Primary Care Associates, P.a. NPPES

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

FREDERICK PRIMARY CARE ASSOCIATES, P.A. (NPI 1083411979) is a healthcare organization registered as a psychiatric/mental health in Frederick, Maryland and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Scott R Lilly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083411979
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFREDERICK PRIMARY CARE ASSOCIATES, P.A.
Location Address9093 RIDGEFIELD DR STE 104Frederick, MD 21701-6711
Mailing Address610 Solarex CtFrederick, MD 21703-8624
Organization SubpartYes
Authorized OfficialScott R LillyCeo · (301) 663-6162
Enumeration DateFebruary 27, 2025
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
NPI 1083411979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
9093 RIDGEFIELD DR STE 104, Frederick, MD 21701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2328963

Frederick Primary Care Associates · Frederick, MD
Active · expires Aug 19, 2027
CLIA Number21D2328963
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorDr. Martin M. Sarkar
Laboratory Phone(240) 913-5950
Laboratory LocationFrederick Primary Care Associates9093 Ridgefield Drive #104, Frederick, MD 21701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Family Medicine
9093 RIDGEFIELD DR STE 104
FREDERICK, MD 21701
Nurse Practitioner (Psychiatric/Mental Health)
9093 RIDGEFIELD DR STE 104
FREDERICK, MD 21701
Nurse Practitioner (Psychiatric/Mental Health)
9093 RIDGEFIELD DR STE 104
FREDERICK, MD 21701
Nurse Practitioner (Psychiatric/Mental Health)
9093 RIDGEFIELD DR STE 104
FREDERICK, MD 21701
Nurse Practitioner (Family)
9093 RIDGEFIELD DR STE 104
FREDERICK, MD 21701
Family Medicine
9093 RIDGEFIELD DR STE 104
FREDERICK, MD 21701
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9093 RIDGEFIELD DR STE 104
FREDERICK, MD 21701
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9093 RIDGEFIELD DR STE 104
FREDERICK, MD 21701

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 Frederick Primary Care Associates, P.A.'s NPI number?

The NPI number for Frederick Primary Care Associates, P.A. is 1083411979. It was assigned to this organization in the NPPES registry on February 27, 2025.

Where is Frederick Primary Care Associates, P.A. located?

Frederick Primary Care Associates, P.A. is located at 9093 Ridgefield Dr Ste 104, Frederick, MD 21701. The listed phone number is (240) 913-5950.

What is Frederick Primary Care Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Frederick Primary Care Associates, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2328963) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Frederick Primary Care Associates, P.A. was last updated on June 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.