Active NPI
Christy Lee Marciniak, CRNP
- Gerontology Nurse Practitioner
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R211658
- Practice address
- 219 S Washington St
Easton, MD 21601-2913 - Phone
- (410) 822-1000
- NPI assigned
- Jan 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R211658 | MD | Primary |
Addresses
Primary practice location
219 S Washington St
Easton, MD 21601-2913
Mailing address
509 Romancoke Rd
Stevensville, MD 21666-2857
Phone (443) 496-1291
Other names 1
- Christy Lee Hagan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
125 Shoreway Dr
Suite 310
Queenstown, MD 21658-1683
Phone (410) 553-8300
219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845
2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 822-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R211658 | MD | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
125 Shoreway Dr
Ste 330
Queenstown, MD 21658
Phone (410) 820-9823
Interoperability endpoints
- cmarciniak541248@direct.umm.edu
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba VNA of Maryland - Chestertown
- Home Health Agency
- Chestertown, MD
- NPI 1710925375
-
dba University of Maryland Shore Medical Center at Chestertown
- General Acute Care Hospital
- Chestertown, MD
- NPI 1679536809
-
dba Conexus Laboratories Inc.
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
dba UM Shore Medical Center at Dorchester
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
dba UM Shore Medical Center at Easton
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1679382303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 ROMANCOKE RD",
"city": "STEVENSVILLE",
"state": "MD",
"postal_code": "216662857",
"telephone_number": "443-496-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 S WASHINGTON ST",
"city": "EASTON",
"state": "MD",
"postal_code": "216012913",
"telephone_number": "410-822-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCINIAK",
"first_name": "CHRISTY",
"middle_name": "LEE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R211658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "HAGAN",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.