Individual provider Active NPI

Cherise Hagans, NP

  • Family Nurse Practitioner
  • Fort Washington, MD
National Provider Identifier
1407234727
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R161898 Issued in MD
Practice address
3105 Kingsway Rd
Fort Washington, MD 20744-2030
Phone
(240) 393-2314
NPI assigned
May 7, 2015
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R161898 MD Primary

Addresses

Primary practice location

3105 Kingsway Rd
Fort Washington, MD 20744-2030

Mailing address

3105 Kingsway Rd
Fort Washington, MD 20744-2030
Phone (240) 393-2314

Other practice location 1

21625 Great Mills Rd Fl 1
Lexington Park, MD 20653-1239
Phone (301) 888-2233

Other practice location 2

8030 Matthews Rd Unit 105-107
Bryans Road, MD 20616-4265
Phone (301) 888-2233

Other identifiers 1

IdentifierTypeStateIssuer
097118900MedicaidMD

Other names 1

  • Ms. Cherise Hagans Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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

Enrollment IDStateProvider typePAC IDDetails
I20150722003777 DC Practitioner - Nurse Practitioner 9537472451 Reassigns benefits to 2 organizations
I20210908001552 VA Practitioner - Nurse Practitioner 9537472451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7700 Old Branch Ave
Suite E202
Clinton, MD 20735-1609
Phone (240) 412-5093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Primary Care, LLC Nurse Practitioner CurrentSince Jan 18, 2022 Accepting new patients
Rahel G. Yirga MD PC CurrentSince Jul 31, 2021 Accepting new patients

Locations

7700 Old Branch Ave
Ste E202
Clinton, MD 20735
Phone (240) 412-5093

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

20 Pidgeon Hill Dr
Ste 208
Sterling, VA 20165
Phone (703) 539-6029

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1407234727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 KINGSWAY RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442030",
            "telephone_number": "240-393-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 KINGSWAY RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442030",
            "telephone_number": "240-393-2314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21625 Great Mills Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Lexington Park",
            "state": "MD",
            "postal_code": "206531239",
            "country_code": "US",
            "telephone_number": "301-888-2233",
            "fax_number": "301-997-1489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8030 Matthews Rd Unit 105-107",
            "address_purpose": "LOCATION",
            "city": "Bryans Road",
            "state": "MD",
            "postal_code": "206164265",
            "country_code": "US",
            "telephone_number": "301-888-2233",
            "fax_number": "301-997-1489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGANS",
        "first_name": "CHERISE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R161898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097118900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERISE",
            "last_name": "HAGANS",
            "prefix": "MS.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Washington, MD

Sources for this page

Verify at the official NPI Registry.