MEKEDES MEKONNEN CRNP-PMH
NPI 1174230858
Nurse Practitioner - Psychiatric/Mental Health in Laurel, MD

Q: What is Mekedes Mekonnen's NPI number?

The NPI number for Mekedes Mekonnen is 1174230858. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Q: What is Mekedes Mekonnen'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 Mekedes Mekonnen was last updated on December 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 01, 2022PECOS EnrolledAccepts Medicare Assignment

8101 SANDY SPRING RD STE 300, LAUREL, MD 20707(240) 761-7820 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 21, 2022, Nov 1, 2022 (2 updates tracked since 2022).

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About Mekedes Mekonnen Crnp-pmh NPPES

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

MEKEDES MEKONNEN CRNP-PMH (NPI 1174230858) is an individual psychiatric/mental health provider in Laurel, Maryland, licensed in Maryland (R232450) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174230858

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMEKEDES MEKONNENCredential: CRNP-PMH

Location Address8101 SANDY SPRING RD STE 300Laurel, MD 20707-3596

Mailing Address8101 Sandy Spring Rd Ste 300Laurel, MD 20707-3596 · (240) 761-7820

Phone(240) 761-7820

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 1, 2022

Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration

NPPES CertifiedDecember 21, 2022

✔ NPI 1174230858 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 MD · R232450

8101 SANDY SPRING RD STE 300, Laurel, MD 20707

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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

Mekedes Mekonnen Crnp-pmh 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 ID9335510577

PECOS Enrollment IDI20260223000020

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 20707 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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 18

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

COUNSELING INTEGRATIVE HEALTHCARE SERVICES, LLC

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