BEYENE EDO EDESSA
NPI 1538016860
Nurse Practitioner - Psychiatric/Mental Health in Windsor Mill, MD
About Beyene Edo Edessa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEYENE EDO EDESSA (NPI 1538016860) is an individual psychiatric/mental health provider in Windsor Mill, Maryland, licensed in Maryland (R224494) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beyene Edo Edessa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21244 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINDSOR MILL, MD 21244
BALTIMORE, MD 21244
BALTIMORE, MD 21244
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 Beyene Edessa's NPI number?
The NPI number for Beyene Edessa is 1538016860. It was assigned to this individual provider in the NPPES registry on March 16, 2026.
Where is Beyene Edessa located?
Beyene Edessa practices at 3610 Milford Mill Rd, Windsor Mill, MD 21244. The listed phone number is (443) 405-7273.
What is Beyene Edessa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Beyene Edessa enrolled in Medicare?
Yes. Beyene Edessa is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Beyene Edessa was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
# Beyene Edo Edessa · NPI 1538016860
Psychiatric/Mental Health physician in Windsor Mill, Maryland. Individual provider, active in the CMS NPPES registry since March 16, 2026.
## Identity
- **NPI:** 1538016860 (Entity type: Individual)
- **Enumerated:** March 16, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R224494 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3610 MILFORD MILL RD, Windsor Mill, MD 21244-3330
- **Phone:** (443) 405-7273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1538016860) · Data from the CMS NPPES public registry.