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JOSEPH EDWARD HUGHES CRNP-PMH, PMHNP-BC
NPI 1255004099
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since July 28, 2021PECOS Enrolled
6501 N CHARLES ST, BALTIMORE, MD 21204(410) 938-4901 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2023, Jul 28, 2021 (2 updates tracked since 2021).

About Joseph Edward Hughes Crnp-pmh, Pmhnp-bc NPPES

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

JOSEPH EDWARD HUGHES CRNP-PMH, PMHNP-BC (NPI 1255004099) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R237343) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255004099
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOSEPH EDWARD HUGHESCredential: CRNP-PMH, PMHNP-BC
Location Address6501 N CHARLES STBaltimore, MD 21204-6819
Mailing Address6501 N Charles StBaltimore, MD 21204-6819 · (410) 938-4901
Phone(410) 938-4901
Sole ProprietorNo
Enumeration DateJuly 28, 2021
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1255004099 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 · R237343
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License R237343 (MD)
6501 N CHARLES ST, Baltimore, MD 21204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Edward Hughes Crnp-pmh, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Hughes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sheppard Pratt Physicians, P.A.
Same address
Psychiatry
6501 N CHARLES ST
Baltimore, MD 21204
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Sheppard Pratt Physicians PA
  • 187 clinicians in this Medicare group
NPI 1518990712 (410) 938-3150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
269 services42 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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.

Other Providers at the Same Location NPPES 20

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

MISS VICTORIA DIANE WANK CCC-SLP
Speech-Language Pathologist
6501 N CHARLES ST
TOWSON, MD 21204
Baltimore County (410) 938-4411
KAMIYLAH LAWSON
Nurse Practitioner (Psychiatric/Mental Health)
6501 N CHARLES ST
TOWSON, MD 21204
Baltimore County (410) 938-3000
MRS. ASHLEY ANN LESTER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6501 N CHARLES ST
BALTIMORE, MD 21204
Baltimore County (410) 938-3000
DR. RICHARD JOSPH LOEWENSTEIN M.D.
Psychiatry & Neurology (Psychiatry)
6501 N CHARLES ST
BALTIMORE, MD 21204
Baltimore County (410) 938-5075
MICHAEL J PRIESTER PHD
Psychologist (Clinical)
6501 N CHARLES ST
BALTIMORE, MD 21204
Baltimore County (410) 938-3000
DR. SARA ANN MIX
Psychologist (Clinical)
6501 N CHARLES ST
TOWSON, MD 21204
Baltimore County (443) 881-2028
CAROLINE J COHEN LCSW-C
Social Worker (Clinical)
6501 N CHARLES ST
BALTIMORE, MD 21204
Baltimore County (410) 938-3000
DOUGLAS M GARTRELL MD
Psychiatry & Neurology (Psychiatry)
6501 N CHARLES ST
BALTIMORE, MD 21204
Baltimore County (410) 938-3000

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 Joseph Hughes's NPI number?

The NPI number for Joseph Hughes is 1255004099. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Joseph Hughes located?

Joseph Hughes practices at 6501 N Charles St, Baltimore, MD 21204. The listed phone number is (410) 938-4901.

What is Joseph Hughes's specialty?

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

Is Joseph Hughes enrolled in Medicare?

Yes. Joseph Hughes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Hughes reassigns Medicare benefits to Sheppard Pratt Physicians, P.A. (Baltimore, MD). The 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 Joseph Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joseph Hughes was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.