MARIE BERTHE MADZE FOTSO PMHNP
NPI 1376367243
Nurse Practitioner - Psychiatric/Mental Health in Mechanicsville, VA

Q: What is Marie Berthe Madze Fotso's NPI number?

The NPI number for Marie Berthe Madze Fotso is 1376367243. It was assigned to this individual provider in the NPPES registry on November 8, 2024.

Q: What is Marie Berthe Madze Fotso's specialty?

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

Active since November 08, 2024PECOS EnrolledAccepts Medicare Assignment

9202 CENTER OAK CT, MECHANICSVILLE, VA 23116(804) 207-6737 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2024, Nov 8, 2024 (2 updates tracked since 2024).

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About Marie Berthe Madze Fotso Pmhnp NPPES

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

MARIE BERTHE MADZE FOTSO PMHNP (NPI 1376367243) is an individual psychiatric/mental health provider in Mechanicsville, Virginia, licensed in Virginia (0024191751) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Towson, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376367243

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARIE BERTHE MADZE FOTSOCredential: PMHNP

Location Address9202 CENTER OAK CTMechanicsville, VA 23116-2744

Mailing Address6501 N Charles StTowson, MD 21204-6819 · (410) 938-3000

Phone(804) 207-6737

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 8, 2024

Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration

NPPES CertifiedDecember 16, 2024

✔ NPI 1376367243 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 VA · 0024191751

9202 CENTER OAK CT, Mechanicsville, VA 23116

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Secondary Practice Location 1

Location 16501 N Charles StTowson, MD 21204-6819 · Phone (410) 938-3000

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

Marie Berthe Madze Fotso Pmhnp 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 ID7810414208

PECOS Enrollment IDI20250508002866

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 23116 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 20

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

MRS. MAVIS N TAH SAMA HHA, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)