NPIMap

Individual provider Active NPI

Liz N. Nangendo

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1689108730
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R201144 Issued in MD
Practice address
328 N Potomac St
Hagerstown, MD 21740-3820
Phone
(301) 733-6063
NPI assigned
Apr 16, 2017
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R201144 MD Primary

Addresses

Primary practice location

328 N Potomac St
Hagerstown, MD 21740-3820

Mailing address

328 N Potomac St
Hagerstown, MD 21740-3820
Phone (240) 644-3237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170920002235 DC Practitioner - Nurse Practitioner 6204100886 Reassigns benefits to 1 organization
I20220411000304 MD Practitioner - Nurse Practitioner 6204100886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mosaic Community Services, IncGroup PAC ID 0941289417, 63 clinicians
Way Station IncGroup PAC ID 8628064151, 25 clinicians

Practice addresses (Care Compare)

210 Abrecht PL
Frederick, MD 21701-4918
Phone (301) 663-8263

328 N Potomac St
Hagerstown, MD 21740-3820
Phone (410) 740-1901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.75 of 100Reported as group
Quality
42.65
Promoting interoperability
51
Improvement activities
40
Cost
84.01

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
30.12
Promoting interoperability
80
Improvement activities
40
Cost
57.93

Merit-based Incentive Payment System (MIPS)

Final score
73.74 of 100Reported as group
Quality
50.53
Promoting interoperability
55
Improvement activities
40
Cost
82.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R201144MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Services, Inc. Current Accepting new patients
Mosaic Community Services, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Mosaic Community Services, Inc CurrentSince Jul 1, 2022 Accepting new patients
Family Services, Inc CurrentSince Apr 6, 2024 Accepting new patients
Family Services, Inc. CurrentSince Apr 6, 2024 Accepting new patients
Way Station Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

219 W Patrick St
#A
Frederick, MD 21701
Phone (301) 662-3223

604 Solarex Ct
Unit 201
Frederick, MD 21703
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1689108730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N POTOMAC ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403820",
            "telephone_number": "240-644-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N POTOMAC ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403820",
            "telephone_number": "301-733-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANGENDO",
        "first_name": "LIZ",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-16",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R201144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.