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LYDIA GUGSA CRNP
NPI 1275948622
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
1004 S CLINTON ST, BALTIMORE, MD 21224(443) 261-5963 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2024, Jul 24, 2023, Jun 13, 2023 (3 updates tracked since 2023).

About Lydia Gugsa Crnp NPPES

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

LYDIA GUGSA CRNP (NPI 1275948622) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in District Of Columbia (NP1025079) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1275948622
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLYDIA GUGSACredential: CRNP
Location Address1004 S CLINTON STBaltimore, MD 21224-5026
Mailing Address12203 Connecticut AveSilver Spring, MD 20902-1024 · (301) 213-4277
Phone(443) 261-5963
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 24, 2014
Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1275948622 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
Licenses✔ Licensed in DC · NP1025079✔ Licensed in MD · R197771
Also ListedRegistered NurseTaxonomy 163W00000X · License RN1025079 (DC)
1004 S CLINTON ST, Baltimore, MD 21224
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11800 N Charles St Ste 900Baltimore, MD 21201-5987 · Phone (443) 300-6705
Location 22811 Pennsylvania Ave SEWashington, DC 20020-3865 · Phone (202) 894-6811

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

Lydia Gugsa 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 ID3870032501
PECOS Enrollment IDI20240827000362, I20250312000290
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 21224 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

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

COUNSELING ON CALL
Community/Behavioral Health
1004 S CLINTON ST
BALTIMORE, MD 21224
Baltimore City (315) 317-0310

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 Lydia Gugsa's NPI number?

The NPI number for Lydia Gugsa is 1275948622. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Lydia Gugsa located?

Lydia Gugsa practices at 1004 S Clinton St, Baltimore, MD 21224. The listed phone number is (443) 261-5963.

What is Lydia Gugsa's specialty?

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

Is Lydia Gugsa enrolled in Medicare?

Yes. Lydia Gugsa 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 Lydia Gugsa was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.