Elissa Gerfen Hauptman, DNP, CRNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R217962 Issued in MD

Practice address

5454 Wisconsin Ave Ste 1275
Chevy Chase, MD 20815-6933

Phone

(240) 743-4535

Fax

(240) 483-0862

NPI assigned

Aug 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Martha Elizabeth Gerfen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 8, 2024 through Jul 8, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elissa.hauptman.1@24224.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24224/brand/1/csg/1/fhir/r4

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.

• Capital Mental Health

  • Psychiatry Physician
  • Chevy Chase, MD
  • NPI 1790358927
  NPD

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1508381260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1275",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156933",
            "telephone_number": "240-743-4535",
            "fax_number": "240-483-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1275",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156933",
            "telephone_number": "240-743-4535",
            "fax_number": "240-483-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPTMAN",
        "first_name": "ELISSA",
        "middle_name": "GERFEN",
        "credential": "DNP, CRNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1030238",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024175088",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R217962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "GERFEN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Hartheimer, PA-C
• Mollie Hartz
• Ariana Harwood, DO
• Paul Damien Hatton, M.D.
• Gerry G. Haughey, AUD., CCC-A
• Hausner Cardiology Center LLC
• Eva Hausnerova, M.D., PHD.
• Healing Hearts Counseling
• Healing Voice Center, LLC
• Hear Here, LLC (A&A Maryland Hearing Center)

• Psychiatric/Mental Health Nurse Practitioner in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.