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PLEASANT VALLEY PRIMARY CARE
NPI 1346962149
Family Medicine in Boonsboro, MD

Active since September 19, 2022CLIA 21D2269720 · Waiver
20311 LAPPANS RD STE 100, BOONSBORO, MD 21713(301) 573-9453 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2023, Sep 19, 2022 (2 updates tracked since 2022).

About Pleasant Valley Primary Care NPPES

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

PLEASANT VALLEY PRIMARY CARE (NPI 1346962149) is a healthcare organization registered as a family medicine in Boonsboro, Maryland and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Jessica Roelkey, Owner, as its authorized official.

NPPES Registry Identity

NPI1346962149
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePLEASANT VALLEY PRIMARY CARE
Location Address20311 LAPPANS RD STE 100Boonsboro, MD 21713-2086
Mailing Address20311 Lappans Rd Ste 100Boonsboro, MD 21713-2086 · (301) 799-1098 · Fax (301) 799-1367
Phone(301) 573-9453
Organization SubpartNo
Authorized OfficialJessica RoelkeyOwner · (301) 573-9453
Enumeration DateSeptember 19, 2022
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1346962149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
20311 LAPPANS RD STE 100, Boonsboro, MD 21713
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 21D2269720

Pleasant Valley Primary Care, LLC · Boonsboro, MD
Active · expires Sep 29, 2026
CLIA Number21D2269720
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorDr. David H. Roelkey
Laboratory Phone(301) 573-9453
Laboratory LocationPleasant Valley Primary Care, LLC20311 Lappans Rd #100, Boonsboro, MD 21713
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 5

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

SHABBAR HUSSAIN M.D.
Pain Medicine (Pain Medicine)
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Washington County (301) 432-8470
DR. DAVID HENRY ROELKEY V M.D.
Family Medicine
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Washington County (301) 799-1098
JESSICA ROELKEY PA-C
Physician Assistant
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Washington County (301) 799-1098
ANGEL MARIE MEDINA
Nurse Practitioner (Family)
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Washington County (301) 799-1098
SEAN ROBERT MICHAEL SIMS PA-C
Physician Assistant
20311 LAPPANS RD STE 100
BOONSBORO, MD 21713
Washington County (301) 432-8470

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 Pleasant Valley Primary Care's NPI number?

The NPI number for Pleasant Valley Primary Care is 1346962149. It was assigned to this organization in the NPPES registry on September 19, 2022.

Where is Pleasant Valley Primary Care located?

Pleasant Valley Primary Care is located at 20311 Lappans Rd Ste 100, Boonsboro, MD 21713. The listed phone number is (301) 573-9453.

What is Pleasant Valley Primary Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pleasant Valley Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2269720) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pleasant Valley Primary Care was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.