MS. MARYLYN A. HAGERTY DNP FNP
NPI 1548558968
Clinical Nurse Specialist - Family Health in Cerritos, CA

Q: What is Marylyn Hagerty's NPI number?

The NPI number for Marylyn Hagerty is 1548558968. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Q: What is Marylyn Hagerty's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Q: When was this NPI record last updated?

The NPPES record for Marylyn Hagerty was last updated on August 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 19, 2011PECOS Enrolled

12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703(562) 229-4831(949) 305-8520 Get Directions Write a Review

NPPES record last updated: August 4, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Marylyn A. Hagerty Dnp Fnp NPPES

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

MS. MARYLYN A. HAGERTY DNP FNP (NPI 1548558968) is an individual family health provider in Cerritos, California, licensed in California (21337) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548558968

Entity TypeIndividualFemale

Primary Taxonomy364SF0001X

Provider Legal NameMS. MARYLYN A. HAGERTYCredential: DNP FNP

Location Address12900 PARK PLAZA DR STE 150Cerritos, CA 90703

Mailing Address1808 Calle MayitaSan Clemente, CA 92672-2306 · (949) 933-2620 · Fax (949) 361-5092

Phone(562) 229-4831

Fax(949) 305-8520

Sole ProprietorYes

Enumeration DateJuly 19, 2011

Last NPPES UpdateAugust 4, 2018

✔ NPI 1548558968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SF0001X

License✔ Licensed in CA · 21337

Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 267941 (CA)

12900 PARK PLAZA DR STE 150, Cerritos, CA 90703

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marylyn A. Hagerty Dnp Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers13 claims13 services$38.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. SAMI E. KHOURY M.D.

Family Medicine

12900 PARK PLAZA DR STE 150, ATTENTION: MAGGIE NOLES
CERRITOS, CA 90703

Los Angeles County (562) 741-4461

CARYN CHIN CHAO N.P.

Nurse Practitioner (Gerontology)