Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Andersen, PAC

Individual provider Medical Physician Assistant · NPI 1578742375

Kathleen Andersen, PAC is a Physician Assistant in Fort Washington, Maryland. Qualified in 2007, 19 years ago. Practices with Ackerly McBride Group PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
19
Licensed in
PA
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone: (301) 203-2250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA053150 (PA)

Record details

NPI number1578742375
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 29, 2007
Last updated in NPPESMay 29, 2018
Mailing address8186 Lark Brown Rd, Ste 201, Elkridge, MD 21075-6434

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ackerly McBride Group Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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