Joshua Hagan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

349665 Issued in MD

Practice address

220 W Cold Spring LN
Baltimore, MD 21210-2802

Phone

(443) 390-7200

NPI assigned

Oct 10, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Living Wellness Medical CenterGroup PAC ID 0244548568, 3 clinicians

Lifestream Health CenterGroup PAC ID 4284870072, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Living Wellness Medical Center

  • General Practice Physician
  • Baltimore, MD
  • NPI 1518354133
  Medicare reassignment Care Compare group NPD
• Lifestream Health Center

  • Specialist
  • Bowie, MD
  • NPI 1881728996

  DC

  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1003697772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 BOSTON ST APT 3072",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245767",
            "telephone_number": "585-413-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W COLD SPRING LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102802",
            "telephone_number": "443-390-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349665",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "349665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Ann M Haft, CDPE, CHHC, CNS
• Sean Hagaman, DO
• Vanessa Hagan-Osei
• Blair Hagan, MS, LCPC
• John Hagan, CRNP
• Linda Ann Hagan, P.A-C
• Matilda Nana Amba Hagan, MD
• Robert Stewart Hagan, M.D., PH.D.
• Unchong Spencer Hagan, RPH
• Kaitlin M Hagen, MOT, OTR/L

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.