Individual provider Active NPI

Madeleine Wilson Hao, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Reston, VA
National Provider Identifier
1407333826
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
00245176405 Issued in VA
Practice address
11260 Roger Bacon Dr Ste 204
Reston, VA 20190-5252
Phone
(703) 420-3267
Fax
(703) 420-3654
NPI assigned
Jul 27, 2018
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1049832 DC
Nurse Practitioner 363L00000X 0024176405 VA
Family Nurse Practitioner 363LF0000X 0024176405 VA
Family Nurse Practitioner 363LF0000X 1049832 DC
Family Nurse Practitioner 363LF0000X AC002581 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ACOO6501 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1049832 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 00245176405 VA Primary
Registered Nurse 163W00000X 0001260582 VA

Addresses

Primary practice location

11260 Roger Bacon Dr Ste 204
Reston, VA 20190-5252

Mailing address

11260 Roger Bacon Dr Ste 204
Reston, VA 20190-5252
Phone (703) 420-3267

Other practice location 1

1420 Beverly Rd Ste 100
Mc Lean, VA 22101-3719
Phone (703) 852-8287

Other practice location 2

6401 America Blvd Ste 203
Hyattsville, MD 20782-2357
Phone (012) 095-4803

Other names 1

  • Madeleine Mary Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20181112000016 DC Practitioner - Nurse Practitioner 4880948819 Reassigns benefits to 2 organizations
I20240731004279 MD Practitioner - Nurse Practitioner 4880948819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001260582VAMDRegistered Nurse
AC002581MDMDFamily Nurse Practitioner
0024176405VAMDFamily Nurse Practitioner
1049832DCMDPsychiatric/Mental Health Nurse Practitioner
ACOO6501MDMDPsychiatric/Mental Health Nurse Practitioner
00245176405VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 17, 2019 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jun 18, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 17, 2019 Accepting new patients
Nova Family Health PLLC Nurse Practitioner CurrentSince Jun 9, 2024 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Jun 18, 2024 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Georgetown Medical Center, Inc PastSince Mar 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3007 Tilden St NW
Ste 5N
Washington, DC 20008

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3800 Reservoir Rd NW
#4
Washington, DC 20007
Phone (202) 295-0560

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

6401 America Blvd
Hyattsville, MD 20782
Phone (301) 209-5480

6401 America Blvd
Ste 203
Hyattsville, MD 20782
Phone (301) 209-5480

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000

1420 Beverly Rd
Ste 100
Mc Lean, VA 22101
Phone (703) 852-8287

11260 Roger Bacon Dr
Ste 204
Reston, VA 20190
Phone (703) 435-7558

Organizations & group practices 8

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1407333826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 ROGER BACON DR STE 204",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905252",
            "telephone_number": "703-420-3267",
            "fax_number": "703-420-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 ROGER BACON DR STE 204",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905252",
            "telephone_number": "703-420-3267",
            "fax_number": "703-420-3654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 Beverly Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013719",
            "country_code": "US",
            "telephone_number": "703-852-8287",
            "fax_number": "703-825-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 America Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Hyattsville",
            "state": "MD",
            "postal_code": "207822357",
            "country_code": "US",
            "telephone_number": "012-095-4803",
            "fax_number": "301-209-5481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAO",
        "first_name": "MADELEINE",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "1049832",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "1049832",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC002581",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "ACOO6501",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "1049832",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "00245176405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001260582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELEINE",
            "last_name": "WILSON",
            "middle_name": "MARY",
            "credential": "MSN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.