SAGE MENTAL WELLNESS
NPI 1902475353
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD

Active since June 21, 2021
309 E PATRICK ST, FREDERICK, MD 21701(253) 355-5342 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2022, Jun 21, 2021 (2 updates tracked since 2021).

About Sage Mental Wellness NPPES

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

SAGE MENTAL WELLNESS (NPI 1902475353) is a healthcare organization registered as a psychiatric/mental health in Frederick, Maryland and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Hagerstown and lists Audra Worthington, Owner, as its authorized official.

NPPES Registry Identity

NPI1902475353
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSAGE MENTAL WELLNESS
Location Address309 E PATRICK STFrederick, MD 21701-6792
Mailing Address250 Antietam DrFalling Waters, WV 25419-4880 · (253) 355-5342
Organization SubpartNo
Authorized OfficialAudra WorthingtonOwner · (240) 310-9961
Enumeration DateJune 21, 2021
Last NPPES UpdateMay 31, 20242 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1902475353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
309 E PATRICK ST, Frederick, MD 21701

Secondary Practice Location 1

Location 11190 Mount Aetna Rd Ste 206Hagerstown, MD 21740-6833 · Phone (240) 310-9961 · Fax (877) 793-1645

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sage Mental Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Sage Mental Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1023334893
309 E PATRICK ST
Frederick, MD 21701
(240) 310-9967
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629685607
309 E PATRICK ST
Frederick, MD 21701
(240) 310-9961
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1184299026
201 N BURHANS BLVD
Hagerstown, MD 21740
(301) 791-2660
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1982235305
828 SALEM AVE
Hagerstown, MD 21740
(301) 573-0965
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1235003757
133 W CATHERINE ST STE 102
Chambersburg, PA 17201
(717) 709-7934
✔ PECOS38 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sage Mental Wellness's NPI number?

The NPI number for Sage Mental Wellness is 1902475353. It was assigned to this organization in the NPPES registry on June 21, 2021.

Where is Sage Mental Wellness located?

Sage Mental Wellness is located at 309 E Patrick St, Frederick, MD 21701. The listed phone number is (253) 355-5342.

What is Sage Mental Wellness's specialty?

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

Is Sage Mental Wellness enrolled in Medicare?

Yes. Sage Mental Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sage Mental Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Sage Mental Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sage Mental Wellness was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.