ZION KETEMA DESTA
NPI 1417673658
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC

Active since October 19, 2022PECOS EnrolledAccepts Medicare Assignment
2333 ONTARIO RD NW, WASHINGTON, DC 20009(202) 483-8196 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2025, Oct 19, 2022 (2 updates tracked since 2022).

About Zion Ketema Desta NPPES

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

ZION KETEMA DESTA (NPI 1417673658) is an individual psychiatric/mental health provider in Washington, District Of Columbia, licensed in Texas (1096608) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417673658
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameZION KETEMA DESTA
Location Address2333 ONTARIO RD NWWashington, DC 20009-2627
Mailing Address648 E Sandra LnGrand Prairie, TX 75052-2533 · (972) 607-5154
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 19, 2022
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1417673658 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 TX · 1096608✔ Licensed in TX · 2022064183
2333 ONTARIO RD NW, Washington, DC 20009

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

Zion Ketema Desta 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 ID6709378698
PECOS Enrollment IDI20251128000296
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.

Medicare Billing Reassignment

Medicare enrollment records show Zion Desta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
2333 ONTARIO RD. NW
Washington, DC 20009
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Marys Center For Maternal And Child Care Inc
  • 175 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 20009 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 20

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

Registered Nurse (Community Health)
2333 ONTARIO RD NW
WASHINGTON, DC 20009
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2333 ONTARIO RD NW
WASHINGTON, DC 20009
Specialist
2333 ONTARIO RD NW
WASHINGTON, DC 20009
Social Worker
2333 ONTARIO RD NW
WASHINGTON, DC 20009
Dentist (Dental Public Health)
2333 ONTARIO RD NW
WASHINGTON, DC 20009
Nurse Practitioner (Pediatrics)
2333 ONTARIO RD NW
WASHINGTON, DC 20009
Social Worker
2333 ONTARIO RD NW
WASHINGTON, DC 20009
Dental Hygienist
2333 ONTARIO RD NW
WASHINGTON, DC 20009

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 Zion Desta's NPI number?

The NPI number for Zion Desta is 1417673658. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Zion Desta located?

Zion Desta practices at 2333 Ontario Rd NW, Washington, DC 20009. The listed phone number is (202) 483-8196.

What is Zion Desta's specialty?

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

Is Zion Desta enrolled in Medicare?

Yes. Zion Desta 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 organization bills Medicare for Zion Desta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zion Desta reassigns Medicare benefits to Mary's Center For Maternal And Child Care, Inc (Washington, DC). The 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 Zion Desta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zion Desta accept?

Health plans from Blue Cross and Blue Shield of Texas list Zion Desta 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 Zion Desta was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.