1. Home
  2. Directory
  3. Maryland
  4. Gaithersburg
  5. Nurse Practitioner
  6. NPI Profile

AUTUMN S BOZZO MSN, PMHNP-BC, RN
NPI 1487506994
Nurse Practitioner - Psychiatric/Mental Health in Gaithersburg, MD

Active since February 10, 2026PECOS EnrolledAccepts Medicare Assignment
9711 WASHINGTONIAN BLVD STE 500, GAITHERSBURG, MD 20878(240) 262-3697 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, Apr 15, 2026, Apr 1, 2026 (3 updates tracked since 2026).

About Autumn S Bozzo Msn, Pmhnp-bc, Rn NPPES

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

AUTUMN S BOZZO MSN, PMHNP-BC, RN (NPI 1487506994) is an individual psychiatric/mental health provider in Gaithersburg, Maryland, licensed in Maryland (R139201) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1487506994
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAUTUMN S BOZZOCredential: MSN, PMHNP-BC, RN
Location Address9711 WASHINGTONIAN BLVD STE 500Gaithersburg, MD 20878-5824
Mailing Address9711 Washingtonian Blvd Ste 550Gaithersburg, MD 20878-5789 · (240) 262-3697
Phone(240) 262-3697
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateFebruary 10, 2026
Last NPPES UpdateApril 27, 20263 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1487506994 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 MD · R139201
9711 WASHINGTONIAN BLVD STE 500, Gaithersburg, MD 20878
Open in Google Maps ↗

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

Autumn S Bozzo Msn, Pmhnp-bc, Rn 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 ID6002389186
PECOS Enrollment IDI20260622001679
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 Autumn Bozzo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
16 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 20878 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.

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 Autumn Bozzo's NPI number?

The NPI number for Autumn Bozzo is 1487506994. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Autumn Bozzo located?

Autumn Bozzo practices at 9711 Washingtonian Blvd Ste 500, Gaithersburg, MD 20878. The listed phone number is (240) 262-3697.

What is Autumn Bozzo's specialty?

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

Is Autumn Bozzo enrolled in Medicare?

Yes. Autumn Bozzo 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 Autumn Bozzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Bozzo reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). 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 Autumn Bozzo'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 Autumn Bozzo was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.