SAMIRAWIT HAILEMARIAM CRNP
NPI 1043700412
Nurse Practitioner - Psychiatric/Mental Health in Ellicott City, MD

Q: What is Samirawit Hailemariam's NPI number?

The NPI number for Samirawit Hailemariam is 1043700412. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Q: What is Samirawit Hailemariam's specialty?

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

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment

9527 LIVERPOOL LANE, ELLICOTT CITY, MD 21042(214) 466-0640 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Samirawit Hailemariam Crnp NPPES

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

SAMIRAWIT HAILEMARIAM CRNP (NPI 1043700412) is an individual psychiatric/mental health provider in Ellicott City, Maryland, licensed in Maryland (R231364) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043700412

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSAMIRAWIT HAILEMARIAMCredential: CRNP

Location Address9527 LIVERPOOL LANEEllicott City, MD 21042

Mailing Address9448 Sunlit PsgeEllicott City, MD 21042-5994 · (214) 466-0460

Phone(214) 466-0640

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 11, 2018

Last NPPES UpdateSeptember 11, 2023

NPPES CertifiedSeptember 11, 2023

✔ NPI 1043700412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

License✔ Licensed in MD · R231364

Also ListedRegistered NurseTaxonomy 163W00000X · License R231364 (MD)

9527 LIVERPOOL LANE, Ellicott City, MD 21042

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samirawit Hailemariam Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183156979

PECOS Enrollment IDI20241017003393

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 21042 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

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 Samirawit Hailemariam's NPI number?

The NPI number for Samirawit Hailemariam is 1043700412. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Samirawit Hailemariam located?

Samirawit Hailemariam practices at 9527 Liverpool Lane, Ellicott City, MD 21042. The listed phone number is (214) 466-0640.

What is Samirawit Hailemariam's specialty?

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

Is Samirawit Hailemariam enrolled in Medicare?

Yes. Samirawit Hailemariam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samirawit Hailemariam was last updated on September 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.