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

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).

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
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

Accepted 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.

Non-emergency Medical Transport (VAN)
3650 E 100TH CT
THORNTON, CO 80229
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3650 E 100TH CT
THORNTON, CO 80229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477201572, enumerated as an "individual" on March 17, 2022.

The provider is located at 3650 E 100TH CT THORNTON, CO 80229 and the phone number is (720) 472-1366.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.