Individual provider Active NPI

Denese Gaughan, CRNP

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1841286671
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R118645 Issued in MD
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 54 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R118645MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Wendy Kloesz, M.D., P.a Current Accepting new patients
Lifebridge Community Gastroenterology, LLC CurrentSince Mar 1, 2014 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.

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

Verify at the official NPI Registry.