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ELIANE SANDRINE TUECHE FANKAM
NPI 1629618624
Nurse Practitioner - Psychiatric/Mental Health in Burtonsville, MD

Active since January 08, 2020PECOS EnrolledAccepts Medicare Assignment
4401 SADDLE CREEK WAY, BURTONSVILLE, MD 20866(301) 385-7756 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eliane Sandrine Tueche Fankam NPPES

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

ELIANE SANDRINE TUECHE FANKAM (NPI 1629618624) is an individual psychiatric/mental health provider in Burtonsville, Maryland, licensed in Maryland (R199673) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629618624
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELIANE SANDRINE TUECHE FANKAM
Location Address4401 SADDLE CREEK WAYBurtonsville, MD 20866-2206
Mailing Address4401 Saddle Creek WayBurtonsville, MD 20866-2206 · (240) 360-0626
Phone(301) 385-7756
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 8, 2020
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1629618624 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 · R199673
4401 SADDLE CREEK WAY, Burtonsville, MD 20866
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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

Eliane Sandrine Tueche Fankam 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 ID5799107256
PECOS Enrollment IDI20200630000643, I20200630000657
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 20866 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 Eliane Sandrine Fankam's NPI number?

The NPI number for Eliane Sandrine Fankam is 1629618624. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Eliane Sandrine Fankam located?

Eliane Sandrine Fankam practices at 4401 Saddle Creek Way, Burtonsville, MD 20866. The listed phone number is (301) 385-7756.

What is Eliane Sandrine Fankam's specialty?

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

Is Eliane Sandrine Fankam enrolled in Medicare?

Yes. Eliane Sandrine Fankam 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.

When was this NPI record last updated?

The NPPES record for Eliane Sandrine Fankam was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.