NPIMap

Individual provider Active NPI

Cecilia Elisabeth Bardy-Gagner, NP

  • Family Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1770217804
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184689 Issued in VA
Practice address
5839 Harbour View Blvd Ste 200
Suffolk, VA 23435-3797
Phone
(757) 483-6100
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024184689 VA Primary

Addresses

Primary practice location

5839 Harbour View Blvd Ste 200
Suffolk, VA 23435-3797

Mailing address

5839 Harbour View Blvd Ste 200
Suffolk, VA 23435-3797
Phone (757) 483-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826001576 VA Practitioner - Nurse Practitioner 1951785807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

5839 Harbour View Blvd
Suite 200
Suffolk, VA 23435-3797
Phone (757) 483-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care ,LLC CurrentSince Aug 1, 2022 Accepting new patients
Capital Digestive Care ,LLC Current Accepting new patients
Capital Digestive Care, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

2000 Pennsylvania Ave NW
Ste 3010
Washington, DC 20006
Phone (202) 296-3449

5550 Friendship Blvd
Ste T90
Chevy Chase, MD 20815
Phone (301) 654-2521

5500 Knoll North Dr
Ste 460
Columbia, MD 21045
Phone (410) 730-9363

20582 Boland Farm Rd Ste 201
Germantown, MD 20876

3280 Urbana Pike
Ste 101
Ijamsville, MD 21754
Phone (301) 810-5252

7350 Van Dusen Rd
Ste 210
Laurel, MD 20707
Phone (301) 395-5500

7350 Van Dusen Rd
Ste 410
Laurel, MD 20707
Phone (301) 498-5500

3415 Olandwood Ct
Ste 101
Olney, MD 20832
Phone (301) 340-3252

125 Potomac Psge
Ste 250
Oxon Hill, MD 20745
Phone (240) 238-0067

9711 Medical Center Dr
Ste 308
Rockville, MD 20850
Phone (301) 251-0015

6100 Executive Blvd
Ste 301
Rockville, MD 20852

15001 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 340-3252

11921 Bournefield Way
Ste 100
Silver Spring, MD 20904
Phone (240) 737-0080

10770 Columbia Pike
Ste 400
Silver Spring, MD 20901
Phone (215) 589-9012

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100

3009 Corporate Ln
Ste 220
Suffolk, VA 23434
Phone (757) 483-6100

Organizations & group practices 3

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1770217804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5839 HARBOUR VIEW BLVD STE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353797",
            "telephone_number": "757-483-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5839 HARBOUR VIEW BLVD STE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353797",
            "telephone_number": "757-483-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDY-GAGNER",
        "first_name": "CECILIA",
        "middle_name": "ELISABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.