LYDIA GUGSA CRNP
NPI 1275948622
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD
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
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Lydia Gugsa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21224
- Reassigned Medicare billing, Maryland enrollment
- 9 clinicians in this Medicare group
Washington, DC 20002
- Reassigned Medicare billing, District of Columbia enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Lydia Gugsa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Gugsa reassigns Medicare benefits to 2 organizations: Counseling On Call (Baltimore, MD) and Mcclendon Center (Washington, DC). Each 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 Lydia Gugsa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lydia Gugsa accept?
Health plans from Oscar Health list Lydia Gugsa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Lydia Gugsa, CRNP · NPI 1275948622
Psychiatric/Mental Health physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since June 24, 2014.
## Identity
- **NPI:** 1275948622 (Entity type: Individual)
- **Enumerated:** June 24, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NP1025079 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1004 S CLINTON ST, Baltimore, MD 21224-5026
- **Phone:** (443) 261-5963
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Counseling On Call (NPI 1356931448, Baltimore, MD); Mcclendon Center (NPI 1396778361, Washington, DC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275948622) · Data from the CMS NPPES public registry.