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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MINADIA ISAMAR ELLIS PMHNP-BC
NPI 1326769464
Nurse Practitioner - Psychiatric/Mental Health in Lanham, MD

Active since September 07, 2022PECOS Enrolled
7375 EXECUTIVE PL STE 400, #1023, LANHAM, MD 20706(301) 323-8335 Get Directions Write a Review

NPPES record last updated: July 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2026, May 27, 2026, Feb 9, 2024 and 2 more (5 updates tracked since 2022).

About Minadia Isamar Ellis Pmhnp-bc NPPES

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

MINADIA ISAMAR ELLIS PMHNP-BC (NPI 1326769464) is an individual psychiatric/mental health provider in Lanham, Maryland, licensed in Maryland (R269459) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1326769464
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMINADIA ISAMAR ELLISCredential: PMHNP-BC
Location Address7375 EXECUTIVE PL STE 400, #1023Lanham, MD 20706-6232
Mailing Address7375 Executive Pl Ste 400, #1023Lanham, MD 20706-6232 · (301) 323-8335 · Fax (240) 348-8674
Phone(301) 323-8335
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 7, 2022
Last NPPES UpdateJuly 18, 20265 updates tracked since enumeration
NPPES CertifiedJuly 18, 2026
✔ NPI 1326769464 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
Licenses✔ Licensed in MD · R269459✔ Licensed in DC · NP500339393✔ Licensed in VA · 0024186115
7375 EXECUTIVE PL STE 400, Lanham, MD 20706
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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 (PECOS)

Minadia Isamar Ellis Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193195592
PECOS Enrollment IDI20221229001119
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 20706 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 9

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

SIVORA HEALTH LC
Day Training, Developmentally Disabled Services
7375 EXECUTIVE PL STE 400
LANHAM, MD 20706
Prince George's County (443) 722-7307
ELIZABETH IRE OLUMESE
Nurse Practitioner (Psychiatric/Mental Health)
7375 EXECUTIVE PL STE 400
LANHAM, MD 20706
Prince George's County (202) 723-4392
MARVEL KLINIC & BEHAVIORAL
Nurse Practitioner (Family)
7375 EXECUTIVE PL STE 400
LANHAM, MD 20706
Prince George's County (301) 728-3658
DIMENSION HEALTHCARE SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
7375 EXECUTIVE PL STE 400
LANHAM, MD 20706
Prince George's County (202) 247-8893
CHRISTINA PARENT LGPC
Counselor (Professional)
7375 EXECUTIVE PL STE 400
LANHAM, MD 20706
Prince George's County (240) 925-4281
CHOSEN THERAPEUTIC CARE LLC
Counselor (Professional)
7375 EXECUTIVE PL STE 400
LANHAM, MD 20706
Prince George's County (301) 679-5916
LILY BEHAVIORAL HEALTH SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
7375 EXECUTIVE PL STE 400
LANHAM, MD 20706
Prince George's County (202) 599-6819
ESRAM MEDICARE RISK ASSESSMENT CONSULTING FIRM LLC
Family Medicine
7375 EXECUTIVE PL STE 400
LANHAM, MD 20706
Prince George's County (202) 378-8079

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 Minadia Ellis's NPI number?

The NPI number for Minadia Ellis is 1326769464. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is Minadia Ellis located?

Minadia Ellis practices at 7375 Executive Pl Ste 400 #1023, Lanham, MD 20706. The listed phone number is (301) 323-8335.

What is Minadia Ellis's specialty?

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

Is Minadia Ellis enrolled in Medicare?

Yes. Minadia Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Minadia Ellis was last updated on July 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.