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

Individual provider Medical Physician Assistant · NPI 1053695304

Kelly Hausenbauer, PA is a Physician Assistant in Frederick, Maryland. Qualified in 2011, 15 years ago. Practices with Frederick Gastroenterology Associates PA, a 16-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
15
Licensed in
MD
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

310 W Ninth St
Frederick, MD 21701-4546
Phone: (301) 695-6800
Fax: (301) 695-6891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0004612 (MD)

Record details

NPI number1053695304
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 5, 2011
Last updated in NPPESOctober 5, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Frederick Gastroenterology Associates Pa — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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