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DR. FIDELIS EGHOATEH ATIANJOH PMHNP
NPI 1396412243
Nurse Practitioner - Psychiatric/Mental Health in Upper Marlboro, MD

Active since August 27, 2021PECOS EnrolledAccepts Medicare Assignment
1401 MERCANTILE LN STE 200C, UPPER MARLBORO, MD 20774(301) 332-8886 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Fidelis Eghoateh Atianjoh Pmhnp NPPES

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

DR. FIDELIS EGHOATEH ATIANJOH PMHNP (NPI 1396412243) is an individual psychiatric/mental health provider in Upper Marlboro, Maryland, licensed in Maryland (RN221785) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396412243
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. FIDELIS EGHOATEH ATIANJOHCredential: PMHNP
Location Address1401 MERCANTILE LN STE 200CUpper Marlboro, MD 20774-4309
Mailing Address1401 Mercantile Ln Ste 200cUpper Marlboro, MD 20774-4309 · (301) 332-8886
Phone(301) 332-8886
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1396412243 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 MD · RN221785
1401 MERCANTILE LN STE 200C, Upper Marlboro, MD 20774
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Fidelis Eghoateh Atianjoh 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 ID840684478
PECOS Enrollment IDI20220224003104
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20774 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.

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 Fidelis Atianjoh's NPI number?

The NPI number for Fidelis Atianjoh is 1396412243. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Fidelis Atianjoh located?

Fidelis Atianjoh practices at 1401 Mercantile Ln Ste 200C, Upper Marlboro, MD 20774. The listed phone number is (301) 332-8886.

What is Fidelis Atianjoh's specialty?

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

Is Fidelis Atianjoh enrolled in Medicare?

Yes. Fidelis Atianjoh 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 Fidelis Atianjoh was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.