BEYOND PRIMARY CARE, LLC
NPI 1679096002
Nurse Practitioner - Family in Fort Washington, MD

Active since July 18, 2017
3105 KINGSWAY RD, FORT WASHINGTON, MD 20744(240) 412-5093(667) 218-3780 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 21, 2021, Jul 18, 2017 (3 updates tracked since 2017).

About Beyond Primary Care, Llc NPPES

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

BEYOND PRIMARY CARE, LLC (NPI 1679096002) is a healthcare organization registered as a family in Fort Washington, Maryland and active in the NPI registry since July 2017. The organization lists Cherise Renee Hagans, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1679096002
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBEYOND PRIMARY CARE, LLC
Location Address3105 KINGSWAY RDFort Washington, MD 20744-2030
Mailing Address3105 Kingsway RdFt Washington, MD 20744-2030 · (240) 412-5093 · Fax (402) 823-6931
Fax(667) 218-3780
Organization SubpartNo
Authorized OfficialCherise Renee HagansOwner/nurse Practitioner · (240) 412-5093
Enumeration DateJuly 18, 2017
Last NPPES UpdateJuly 31, 20253 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
✔ NPI 1679096002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R161898
3105 KINGSWAY RD, Fort Washington, MD 20744

Other Identifiers 1

Medicaid097118900MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beyond Primary Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beyond Primary Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1407234727
3105 KINGSWAY RD
Fort Washington, MD 20744
(240) 393-2314
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beyond Primary Care, LLC's NPI number?

The NPI number for Beyond Primary Care, LLC is 1679096002. It was assigned to this organization in the NPPES registry on July 18, 2017.

Where is Beyond Primary Care, LLC located?

Beyond Primary Care, LLC is located at 3105 Kingsway Rd, Fort Washington, MD 20744. The listed phone number is (240) 412-5093.

What is Beyond Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Beyond Primary Care, LLC enrolled in Medicare?

Yes. Beyond Primary Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beyond Primary Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Beyond Primary Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beyond Primary Care, LLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.