MELLOW HEALTH SERVICES LLC
NPI 1043174238
Nurse Practitioner - Psychiatric/Mental Health in Upper Marlboro, MD

Active since December 11, 2025
15601 HUMBERSIDE WAY, UPPER MARLBORO, MD 20774(240) 604-7105 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2026, Dec 19, 2025, Dec 11, 2025 (3 updates tracked since 2025).

About Mellow Health Services Llc NPPES

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

MELLOW HEALTH SERVICES LLC (NPI 1043174238) is a healthcare organization registered as a psychiatric/mental health in Upper Marlboro, Maryland and active in the NPI registry since December 2025. The organization lists Catherine Nwokeafor, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1043174238
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMELLOW HEALTH SERVICES LLC
Location Address15601 HUMBERSIDE WAYUpper Marlboro, MD 20774-8050
Mailing Address15601 Humberside WayUpper Marlboro, MD 20774-8050 · (240) 604-7105
Organization SubpartNo
Authorized OfficialCatherine NwokeaforOwner/administrator · (240) 604-7105
Enumeration DateDecember 11, 2025
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1043174238 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
15601 HUMBERSIDE WAY, Upper Marlboro, MD 20774

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Mellow Health Services 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 Mellow Health Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1831623578
15601 HUMBERSIDE WAY
Upper Marlboro, MD 20774
(240) 604-7105
✔ PECOSSame 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 Mellow Health Services LLC's NPI number?

The NPI number for Mellow Health Services LLC is 1043174238. It was assigned to this organization in the NPPES registry on December 11, 2025.

Where is Mellow Health Services LLC located?

Mellow Health Services LLC is located at 15601 Humberside Way, Upper Marlboro, MD 20774. The listed phone number is (240) 604-7105.

What is Mellow Health Services LLC's specialty?

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

Is Mellow Health Services LLC enrolled in Medicare?

Yes. Mellow Health Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mellow Health Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mellow Health Services 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 Mellow Health Services LLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.