ELITE WEIGHTLOSS & TRT
NPI 1568283547
Nurse Practitioner in Mount Airy, MD

Q: What is Elite Weightloss & Trt's NPI number?

The NPI number for Elite Weightloss & Trt is 1568283547. It was assigned to this organization in the NPPES registry on October 22, 2024. The provider is doing business as JE Primary and Mental Health Clinic.

Q: What is Elite Weightloss & Trt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 22, 2024

1604 RIDGESIDE DR STE B2, MOUNT AIRY, MD 21771(410) 498-7055 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2025, Nov 4, 2024 (2 updates tracked since 2024).

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About Elite Weightloss & Trt NPPES

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

ELITE WEIGHTLOSS & TRT (NPI 1568283547), doing business as Je Primary And Mental Health Clinic, is a healthcare organization registered as a nurse practitioner in Mount Airy, Maryland and active in the NPI registry since October 2024. The organization lists Emilienne Nkemayim, Owner, as its authorized official.

NPPES Registry Identity

NPI1568283547

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameELITE WEIGHTLOSS & TRT

Location Address1604 RIDGESIDE DR STE B2Mount Airy, MD 21771-5240

Mailing Address1604 Ridgeside Dr Ste B2Mount Airy, MD 21771-5240 · (410) 498-7055 · Fax (410) 862-4191

Phone(410) 498-7055

Organization SubpartNo

Authorized OfficialEmilienne NkemayimOwner · (410) 498-7055

Enumeration DateOctober 22, 2024

Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration

NPPES CertifiedJuly 17, 2025

✔ NPI 1568283547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

1604 RIDGESIDE DR STE B2, Mount Airy, MD 21771

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Other Names 1

Doing Business AsJe Primary And Mental Health Clinic

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Weightloss & Trt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elite Weightloss & Trt, which bills Medicare for the services this clinician delivers.

Clinician (1)

Emilienne Nkemayim

Nurse Practitioner

NPI 1093224149

1604 RIDGESIDE DR B2
Mt Airy, MD 21771

(410) 498-7055

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elite Weightloss & Trt's NPI number?

The NPI number for Elite Weightloss & Trt is 1568283547. It was assigned to this organization in the NPPES registry on October 22, 2024. The provider is doing business as JE Primary and Mental Health Clinic.

Where is Elite Weightloss & Trt located?

Elite Weightloss & Trt is located at 1604 Ridgeside Dr Ste B2, Mount Airy, MD 21771. The listed phone number is (410) 498-7055.

What is Elite Weightloss & Trt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elite Weightloss & Trt enrolled in Medicare?

Yes. Elite Weightloss & Trt is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Weightloss & Trt?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elite Weightloss & Trt. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elite Weightloss & Trt was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.