SAMRAWIT DEJENE MERSHA
NPI 1477201572
Nurse Practitioner - Psychiatric/Mental Health in Thornton, CO
About Samrawit Dejene Mersha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMRAWIT DEJENE MERSHA (NPI 1477201572) is an individual psychiatric/mental health provider in Thornton, Colorado, licensed in Colorado (0998851) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Samrawit Dejene Mersha 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.
Medicare Billing Reassignments
3Medicare enrollment records show Samrawit Mersha reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Aurora, CO 80012
- Reassigned Medicare billing, Colorado enrollment
- 21 clinicians in this Medicare group
Greenwood Village, CO 80111
- Reassigned Medicare billing, Colorado enrollment
- 12 clinicians in this Medicare group
Colorado Springs, CO 80906
- Reassigned Medicare billing, Colorado enrollment
- 400 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 80229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
THORNTON, CO 80229
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 Samrawit Mersha's NPI number?
The NPI number for Samrawit Mersha is 1477201572. It was assigned to this individual provider in the NPPES registry on March 17, 2022.
Where is Samrawit Mersha located?
Samrawit Mersha practices at 3650 E 100th Ct, Thornton, CO 80229. The listed phone number is (720) 472-1366.
What is Samrawit Mersha's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Samrawit Mersha enrolled in Medicare?
Yes. Samrawit Mersha 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 organizations bill Medicare for Samrawit Mersha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samrawit Mersha reassigns Medicare benefits to 3 organizations: Chriesl Infusion Centers LLC (Aurora, CO), Lg Behavioral Health Of Colorado LLC (Greenwood Village, CO) and Family Care Center, LLC (Colorado Springs, CO). Each 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 Samrawit Mersha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samrawit Mersha was last updated on September 7, 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.
# Samrawit Dejene Mersha · NPI 1477201572
Psychiatric/Mental Health physician in Thornton, Colorado. Individual provider, active in the CMS NPPES registry since March 17, 2022.
## Identity
- **NPI:** 1477201572 (Entity type: Individual)
- **Enumerated:** March 17, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0998851 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3650 E 100TH CT, Thornton, CO 80229-3550
- **Phone:** (720) 472-1366
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Chriesl Infusion Centers LLC (NPI 1669098778, Aurora, CO); Lg Behavioral Health Of Colorado LLC (NPI 1154084689, Greenwood Village, CO); Family Care Center, LLC (NPI 1790141984, Colorado Springs, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 7, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1477201572) · Data from the CMS NPPES public registry.