NPIMap

Individual provider Active NPI

Elizabeth Rogers Nagengast, PA-C

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1225669443
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12028 Issued in NC
Practice address
1219 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone
(910) 615-6949
Fax
(910) 615-9761
NPI assigned
Jan 27, 2020
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-12028 NC Primary
Medical Physician Assistant 363AM0700X 9111657 FL
Physician Assistant 363A00000X 9111657 FL

Addresses

Primary practice location

1219 Walter Reed Rd
Fayetteville, NC 28304-4437

Mailing address

5575 Straw Pond School Rd
Dunn, NC 28334-1633
Phone (919) 824-1749

Other practice location 1

520 Beaman St
Clinton, NC 28328-2602
Phone (910) 596-5633

Other practice location 2

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

Other practice location 3

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919000537 NC Practitioner - Physician Assistant 0244667087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercer University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone (910) 609-3840

1205 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone (910) 615-7246

1219 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone (910) 609-5000

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2572
Phone (910) 484-2171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9111657FLMDPhysician Assistant
0010-12028NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Physician Assistant Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Aug 1, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

1219 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-5000

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

Interoperability endpoints

  • Direct secure messaging: enagengast126208@capefearvalley.direct-ci.com

Organizations & group practices 6

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1225669443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 STRAW POND SCHOOL RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283341633",
            "telephone_number": "919-824-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 WALTER REED RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044437",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Beaman St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283282602",
            "country_code": "US",
            "telephone_number": "910-596-5633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-904-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGENGAST",
        "first_name": "ELIZABETH",
        "middle_name": "ROGERS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12028",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9111657",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.