Individual provider Active NPI

Mary Trageser, N.P.

  • Nurse Practitioner
  • Hunt Valley, MD
National Provider Identifier
1922305333
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R099499 Issued in MD
Practice address
54 Scott Adam Rd
301
Hunt Valley, MD 21030-3216
Phone
(410) 666-6240
Fax
(410) 666-3981
NPI assigned
Feb 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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 R099499 MD Primary

Addresses

Primary practice location

54 Scott Adam Rd
301
Hunt Valley, MD 21030-3216

Mailing address

54 Scott Adam Rd
301
Hunt Valley, MD 21030-3216
Phone (410) 666-6240

Other names 1

  • Mary McGuinness Former name

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
I20110825000476 MD Practitioner - Nurse Practitioner 7214107408

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology Affiliates PC CurrentSince Feb 10, 2021 Accepting new patients

Locations

54 Scott Adam Rd
Ste 301
Hunt Valley, MD 21030
Phone (410) 296-3415

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

Interoperability endpoints

  • Direct secure messaging: mtrageser@aadermaffiliates.emadirect.md

Organizations & group practices 1

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": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1922305333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "301",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210303216",
            "telephone_number": "410-666-6240",
            "fax_number": "410-666-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "301",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210303216",
            "telephone_number": "410-666-6240",
            "fax_number": "410-666-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAGESER",
        "first_name": "MARY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R099499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MCGUINNESS",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.