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

Vanessa Sparta, PA

Individual provider Physician Assistant · NPI 1154638658

Vanessa Sparta, PA is a Physician Assistant in Berlin, Maryland. Qualified in 2010, 16 years ago. Practices with Ydiprmc, LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
16
Licensed in
MD
In the registry since
2010
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

9714 Healthway Dr
Berlin, MD 21811-1154
Phone: (410) 641-3340
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C04309 (MD)

Record details

NPI number1154638658
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 3, 2010
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ydiprmc, Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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