Active NPI
Madison Wylie Hawkes Gagern
- Physician Assistant
- Elkridge, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 8178 Lark Brown Rd Ste 101
Elkridge, MD 21075-6438 - Phone
- (410) 646-4800
- NPI assigned
- Oct 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
8178 Lark Brown Rd Ste 101
Elkridge, MD 21075-6438
Mailing address
253 Poe CT
Severna Park, MD 21146-2136
Phone (301) 873-2902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11055 Little Patuxent Pkwy
Suite L1
Columbia, MD 21044-2897
Phone (410) 646-4800
3407 Wilkens Ave
Suite 250
Baltimore, MD 21229-5216
3407 Wilkens Ave
Suite 250
Baltimore, MD 21229-5222
Phone (410) 646-4800
3449 Wilkens Ave
Suite 100
Baltimore, MD 21229-5216
8178 Lark Brown Rd
Suite 101
Elkridge, MD 21075-6438
Phone (410) 646-4800
Hospital & facility affiliations
- Saint Agnes Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Specialist
- Elkridge, MD
- NPI 1639359508
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1043852411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 POE CT",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462136",
"telephone_number": "301-873-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8178 LARK BROWN RD STE 101",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756438",
"telephone_number": "410-646-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGERN",
"first_name": "MADISON",
"middle_name": "WYLIE HAWKES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-17",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.