Active NPI
Denese Gaughan, CRNP
- Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R118645
- Practice address
- 1838 Greene Tree Rd
Ste 400
Baltimore, MD 21208-6391 - Phone
- (410) 602-7782
- Fax
- (410) 602-2438
- NPI assigned
- Sep 27, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R118645 | MD | Primary |
Addresses
Primary practice location
1838 Greene Tree Rd
Ste 400
Baltimore, MD 21208-6391
Mailing address
1838 Greene Tree Rd
Ste 400
Baltimore, MD 21208-6391
Phone (410) 602-7782
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041207001154 | MD | Practitioner - Nurse Practitioner | 8123084522 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifebridge Community Gastroenterology LLC
Practice addresses (Care Compare)
1838 Greene Tree Rd
Suite 180
Pikesville, MD 21208-7100
Phone (410) 602-7782
1838 Greene Tree Rd
Suite 400
Pikesville, MD 21208-7103
Phone (410) 602-7782
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R118645 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Wendy Kloesz, M.D., P.a | Current | Accepting new patients | |
| Lifebridge Community Gastroenterology, LLC | Current | Accepting new patients | |
| Pikesville MD Endoscopy ASC LLC | Current | Accepting new patients | |
| Endocentre at Quarterfield Station | Past | Accepting new patients |
Locations
7704 Quarterfield Rd
Ste A
Glen Burnie, MD 21061
Phone (410) 863-4899
1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343
1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Pikesville, MD
- NPI 1033558416
MD
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1144472887
-
- Ambulatory Surgical Clinic/Center
- Baltimore, MD
- NPI 1043497019
-
- Endoscopy Clinic/Center
- Glen Burnie, MD
- NPI 1396798930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841286671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1838 GREENE TREE RD",
"address_2": "STE 400",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212086391",
"telephone_number": "410-602-7782",
"fax_number": "410-602-2438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1838 GREENE TREE RD",
"address_2": "STE 400",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212086391",
"telephone_number": "410-602-7782",
"fax_number": "410-602-2438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUGHAN",
"first_name": "DENESE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R118645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.