MARYANNE HAGAR (APRN) – Gerontology Nurse Practitioner, NPI 1255384228

MARYANNE HAGAR (APRN) is a healthcare provider. based in Shelton, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 002546 (CT). The NPI Number for MARYANNE HAGAR (APRN) is 1255384228

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MARYANNE HAGAR (APRN)
NPI
1255384228
Phone
(203) 925-9600
Address
SIX CORPORATE DRIVE
Enumeration Date
18 May 2006
Last Update Date
21 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602840182
Graduation Year
2001 (25 years ago)
PAC ID
5698764355
Group Practice PAC ID
9931276979
Professional Enrollment ID
I20040507001100
Address ID
CT060012097AV21XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for MARYANNE HAGAR (APRN)

  • SIX CORPORATE DRIVE

    SUITE 420

    SHELTON, CT 06484

    Phone: (203) 925-9600

    Fax: (203) 926-0594

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040507001100INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes16268$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes5935$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes2827$0
View full utilization report →

Insurance plans in this area (ZIP 06484)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931276979View full group profile
NameSpecialtyState
Nurse PractitionerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Nurse PractitionerCT
Nurse PractitionerCT
Certified Clinical Nurse Specialist (Cns)CT
Clinical PsychologistCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT

Reviews

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Frequently asked questions

Where can patients find MARYANNE HAGAR (APRN)'s NPI?
You can confirm MARYANNE HAGAR (APRN) with NPI 1255384228; it appears in the national provider directory.
Is MARYANNE HAGAR (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MARYANNE HAGAR (APRN)?
The page reflects Gerontology Nurse Practitioner for MARYANNE HAGAR (APRN). Clinical services aligned with this taxonomy classification.
What location shows for MARYANNE HAGAR (APRN)?
We surface Shelton, Connecticut for MARYANNE HAGAR (APRN) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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