SAMRAWIT DEJENE MERSHA
NPI 1477201572
Nurse Practitioner - Psychiatric/Mental Health in Thornton, CO

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Samrawit Mersha was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 17, 2022PECOS EnrolledAccepts Medicare Assignment

3650 E 100TH CT, THORNTON, CO 80229(720) 472-1366 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 7, 2023, Jul 11, 2023 (2 updates tracked since 2023).

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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

NPI1477201572

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSAMRAWIT DEJENE MERSHA

Location Address3650 E 100TH CTThornton, CO 80229-3550

Mailing Address10120 S 20 Mile RdParker, CO 80134-5666 · (720) 472-1366

Phone(720) 472-1366

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 17, 2022

Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1477201572 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 CO · 0998851

3650 E 100TH CT, Thornton, CO 80229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

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.

PECOS PAC ID2769836667

PECOS Enrollment IDI20230926003732

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 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.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 2

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

NEMT COLORADO LLC

Non-emergency Medical Transport (VAN)

3650 E 100TH CT
THORNTON, CO 80229

Adams County (720) 998-6597

GALILEE HOME CARE LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3650 E 100TH CT
THORNTON, CO 80229

Adams County (720) 765-1461

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.

What insurance does Samrawit Mersha accept?

Health plans from Providence Health Plan list Samrawit Mersha 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 Samrawit Mersha was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.