ELISSA GERFEN HAUPTMAN DNP, CRNP, PMHNP-BC
NPI 1508381260
Nurse Practitioner - Psychiatric/Mental Health in Chevy Chase, MD

Q: What is Elissa Hauptman's NPI number?

The NPI number for Elissa Hauptman is 1508381260. It was assigned to this individual provider in the NPPES registry on August 3, 2017. The provider is also known as Martha Elizabeth Gerfen.

Q: What is Elissa Hauptman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Elissa Hauptman enrolled in Medicare?

No. Elissa Hauptman has opted out of Medicare through July 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Elissa Hauptman was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2017Opted out of Medicare · through Jul 8, 2028

5454 WISCONSIN AVE STE 1275, CHEVY CHASE, MD 20815(240) 743-4535(240) 483-0862 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 7, 2024, Jun 3, 2024, Jun 2, 2023 and 8 more (11 updates tracked since 2017).

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About Elissa Gerfen Hauptman Dnp, Crnp, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISSA GERFEN HAUPTMAN DNP, CRNP, PMHNP-BC (NPI 1508381260) is an individual psychiatric/mental health provider in Chevy Chase, Maryland, licensed in Maryland (R217962) and active in the NPI registry since August 2017. She has opted out of Medicare through July 8, 2028.

NPPES Registry Identity

NPI1508381260

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameELISSA GERFEN HAUPTMANCredential: DNP, CRNP, PMHNP-BC

Location Address5454 WISCONSIN AVE STE 1275Chevy Chase, MD 20815-6933

Mailing Address5454 Wisconsin Ave Ste 1275Chevy Chase, MD 20815-6933 · (240) 743-4535 · Fax (240) 483-0862

Phone(240) 743-4535

Fax(240) 483-0862

Sole ProprietorNo

Enumeration DateAugust 3, 2017

Last NPPES UpdateOctober 7, 202411 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1508381260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in MD · R217962✔ Licensed in DC · NP1030238✔ Licensed in VA · 0024175088

5454 WISCONSIN AVE STE 1275, Chevy Chase, MD 20815

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Other Names 1

Former Name (1)Martha Elizabeth Gerfen

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Elissa Gerfen Hauptman Dnp, Crnp, Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 8, 2024 through July 8, 2028.

Opt-Out Effective DateJuly 8, 2024

Opt-Out In Effect ThroughJuly 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMEE TA MD

Psychiatry & Neurology (Psychiatry)