Mary Claire Hogan, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F311043-01 Issued in NY

Practice address

107 W 4TH St
Mount Vernon, NY 10550-4002

Phone

(914) 699-7200

Fax

(914) 668-1069

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71482

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.

• Mount Vernon Neighborhood Health Center Inc

  dba Mount Vernon Physician Group

  • Specialist
  • Mount Vernon, NY
  • NPI 1295912541
  Medicare reassignment NPD
• Concerto Care Medical Group of New York, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Buffalo, NY
  • NPI 1720805963
  Medicare reassignment
• Mount Vernon Neighborhood Health Center, Inc.

  dba Westchester Community Health Center Yonkers

  • Federally Qualified Health Center (FQHC)
  • Yonkers, NY
  • NPI 1952550055
  NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1770290090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 4TH ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 4TH ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504002",
            "telephone_number": "914-699-7200",
            "fax_number": "914-668-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311043-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmaine Hines, LPN
• Paulette Hines
• Francisco Antonio Hiraldo, MSW
• Wayne Hofflich, D.D.S.
• Sharayah L Hoffmann, CASAC 2 37022
• Yvonne Hogg
• Thuraya Holden, LMSW
• Husani Holder
• Lamorn Holder, MS, CDN
• Charlie Hollingsworth, P.A.

• Adult Health Nurse Practitioner in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.