FITHAWIT MULUGETA GHEBRU FNP
NPI 1407487747
Nurse Practitioner - Family in Sterling, VA

Active since January 27, 2020PECOS Enrolled
110 EDDS LN, STERLING, VA 20165(703) 444-1115 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2021, Apr 12, 2020, Jan 27, 2020 (3 updates tracked since 2020).

About Fithawit Mulugeta Ghebru Fnp NPPES

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

FITHAWIT MULUGETA GHEBRU FNP (NPI 1407487747) is an individual family provider in Sterling, Virginia, licensed in Virginia (0024178763) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407487747
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFITHAWIT MULUGETA GHEBRUCredential: FNP
Location Address110 EDDS LNSterling, VA 20165-5683
Mailing Address20114 Old Line TerAshburn, VA 20147-7493 · (571) 344-3349
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 27, 2020
Last NPPES UpdateApril 26, 20233 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
NPI 1407487747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in VA · 0024178763 Licensed in DC · RN1056788
110 EDDS LN, Sterling, VA 20165

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fithawit Mulugeta Ghebru Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244661924
PECOS Enrollment IDI20200513001085, I20210729003717
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 20165 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 5

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

Nurse Practitioner (Family)
110 EDDS LN
STERLING, VA 20165
Pharmacist
110 EDDS LN
STERLING, VA 20165
Pharmacist
110 EDDS LN
STERLING, VA 20165
Pharmacist
110 EDDS LN
STERLING, VA 20165
Pharmacy
110 EDDS LN
STERLING, VA 20165

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 Fithawit Ghebru's NPI number?

The NPI number for Fithawit Ghebru is 1407487747. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Fithawit Ghebru located?

Fithawit Ghebru practices at 110 Edds Ln, Sterling, VA 20165. The listed phone number is (703) 444-1115.

What is Fithawit Ghebru's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Fithawit Ghebru enrolled in Medicare?

Yes. Fithawit Ghebru is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fithawit Ghebru was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.