Organization Active NPI

Beyond Primary Care, LLC

  • Family Nurse Practitioner
  • Fort Washington, MD
National Provider Identifier
1679096002
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R161898 Issued in MD
Legal business name
BEYOND PRIMARY CARE, LLC
Practice address
3105 Kingsway Rd
Fort Washington, MD 20744-2030
Phone
(240) 412-5093
Fax
(667) 218-3780
NPI assigned
Jul 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Cherise Renee Hagans, CRNPNPI 1407234727
Title
Owner/Nurse Practitioner
Phone
(240) 412-5093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R161898 MD Primary

Addresses

Primary practice location

3105 Kingsway Rd
Fort Washington, MD 20744-2030

Mailing address

3105 Kingsway Rd
Ft Washington, MD 20744-2030
Phone (240) 412-5093

Other identifiers 1

IdentifierTypeStateIssuer
097118900MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220503001432 DC Part B Supplier - Clinic/Group Practice 7719374149 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, MD

National Provider Directory

National Provider Directory
Tax ID family
Beyond Primary Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9135 Piscataway Rd
Ste 320
Clinton, MD 20735
Phone (240) 412-5093

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1679096002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 KINGSWAY RD",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207442030",
            "telephone_number": "240-412-5093",
            "fax_number": "402-823-6931"
        },
        {
            "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": "240-412-5093",
            "fax_number": "667-218-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "HAGANS",
        "authorized_official_first_name": "CHERISE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-412-5093",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.