ERICA MARIE FITZSIMMONS PA-C
NPI 1902443658
Physician Assistant in Glen Dale, WV

Active since December 02, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
800 WHEELING AVE, GLEN DALE, WV 26038(304) 845-3211 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 4, 2025, Sep 8, 2022, May 12, 2021 and 1 more (4 updates tracked since 2019).

About Erica Marie Fitzsimmons Pa-c NPPES

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

ERICA MARIE FITZSIMMONS PA-C (NPI 1902443658) is an individual physician assistant in Glen Dale, West Virginia, licensed in West Virginia (2415) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Gettysburg Hospital, and maintains 14 additional practice locations.

NPPES Registry Identity

NPI1902443658
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameERICA MARIE FITZSIMMONSCredential: PA-C
Location Address800 WHEELING AVEGlen Dale, WV 26038-1660
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 2, 2019
Last NPPES UpdateAugust 4, 20254 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
NPI 1902443658 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
License Licensed in WV · 2415
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 ListedSpecialist/Technologist, Other · Orthopedic AssistantTaxonomy 246ZX2200X · License 2415 (WV)
800 WHEELING AVE, Glen Dale, WV 26038

Secondary Practice Locations 14

Location 1717 Town Center DrYork, PA 17408 · Phone (717) 356-4240
Location 29 Nathan LnAnnville, PA 17003-6500 · Phone (717) 639-3350
Location 324 Antrim Commons DrGreencastle, PA 17225-1623 · Phone (717) 593-0512
Location 4455 S Washington St Ste 12Gettysburg, PA 17325-2516 · Phone (717) 339-2875
Location 5446 N Reading RdEphrata, PA 17522-9802 · Phone (717) 738-5275
Location 61000 Norland AveChambersburg, PA 17201-4229 · Phone (717) 267-6363
Location 72250 E Market StYork, PA 17402-2857 · Phone (717) 851-1566
Location 82149 S Queen StYork, PA 17403-4845 · Phone (717) 356-4460
Location 94050 N George Street ExtManchester, PA 17345-9347 · Phone (717) 356-4370
Location 10101 W Airport RdLititz, PA 17543-9274 · Phone (717) 466-2445
Location 11601 E Main StWaynesboro, PA 17268-2332 · Phone (717) 765-5088
Location 12100 Eisenhower DrHanover, PA 17331-5241 · Phone (717) 646-4201
Location 1346 Walnut Bottom Rd Ste 100Shippensburg, PA 17257-8219 · Phone (717) 477-2764
Location 1496 Sofia Dr Ste 208Shrewsbury, PA 17361-5201 · Phone (717) 812-2400

Accepted Insurance

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

Erica Marie Fitzsimmons Pa-c 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 ID749684116
PECOS Enrollment IDI20210806001113, I20250806001770
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.

Hospital Affiliations CMS Care Compare

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

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26038 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
2 suppliers13 claims13 services$151.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine (Emergency Medical Services)
800 WHEELING AVE
GLEN DALE, WV 26038
Emergency Medicine (Emergency Medical Services)
800 WHEELING AVE
GLEN DALE, WV 26038
Emergency Medicine (Emergency Medical Services)
800 WHEELING AVE
GLEN DALE, WV 26038
Emergency Medicine (Emergency Medical Services)
800 WHEELING AVE
GLEN DALE, WV 26038
Nurse Anesthetist, Certified Registered
800 WHEELING AVE
GLEN DALE, WV 26038
Pharmacy (Home Infusion Therapy Pharmacy)
800 WHEELING AVE, 2ND FLOOR
GLEN DALE, WV 26038
Dietitian, Registered
800 WHEELING AVE
GLEN DALE, WV 26038
Anesthesiology
800 WHEELING AVE
GLEN DALE, WV 26038

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 Erica Fitzsimmons's NPI number?

The NPI number for Erica Fitzsimmons is 1902443658. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is Erica Fitzsimmons located?

Erica Fitzsimmons practices at 800 Wheeling Ave, Glen Dale, WV 26038. The listed phone number is (304) 845-3211.

What is Erica Fitzsimmons's specialty?

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

Is Erica Fitzsimmons enrolled in Medicare?

Yes. Erica Fitzsimmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Erica Fitzsimmons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Erica Fitzsimmons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Erica Fitzsimmons affiliated with any hospitals?

According to CMS data, Erica Fitzsimmons is affiliated with Gettysburg Hospital.

When was this NPI record last updated?

The NPPES record for Erica Fitzsimmons was last updated on August 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.