ADHANOM HABTESLASSIE ASGEDOM
NPI 1164302584
Nurse Practitioner - Psychiatric/Mental Health in New Bern, NC

Q: What is Adhanom Asgedom's NPI number?

The NPI number for Adhanom Asgedom is 1164302584. It was assigned to this individual provider in the NPPES registry on September 5, 2025.

Q: What is Adhanom Asgedom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adhanom Asgedom was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 05, 2025PECOS Enrolled

2717 NEUSE BLVD, NEW BERN, NC 28562(252) 514-9888(252) 514-2881 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 12, 2026, Sep 5, 2025 (2 updates tracked since 2025).

On this page

About Adhanom Habteslassie Asgedom NPPES

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

ADHANOM HABTESLASSIE ASGEDOM (NPI 1164302584) is an individual psychiatric/mental health provider in New Bern, North Carolina, licensed in North Carolina (5023342) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164302584

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameADHANOM HABTESLASSIE ASGEDOM

Location Address2717 NEUSE BLVDNew Bern, NC 28562-2840

Mailing Address2717 Neuse BlvdNew Bern, NC 28562-2840 · (252) 514-9888 · Fax (252) 514-2881

Phone(252) 514-9888

Fax(252) 514-2881

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 5, 2025

Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1164302584 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

License✔ Licensed in NC · 5023342

2717 NEUSE BLVD, New Bern, NC 28562

Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adhanom Habteslassie Asgedom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163904095

PECOS Enrollment IDI20260301000148

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 28562 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 14

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

CHANTELLA BRINSON

Social Worker (Clinical)