KELLY AMIKE NGENGE NP
NPI 1689286197
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD
About Kelly Amike Ngenge Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY AMIKE NGENGE NP (NPI 1689286197) is an individual psychiatric/mental health provider in Frederick, Maryland, licensed in Maryland (R226054) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Amike Ngenge Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Ngenge reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Frederick, MD 21701
- Reassigned Medicare billing, Maryland enrollment
- 8 clinicians in this Medicare group
Frederick, MD 21704
- Reassigned Medicare billing, Maryland enrollment
Columbia, MD 21044
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 200 clinicians in this Medicare group
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 21702 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FREDERICK, MD 21702
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 Kelly Ngenge's NPI number?
The NPI number for Kelly Ngenge is 1689286197. It was assigned to this individual provider in the NPPES registry on August 18, 2020.
Where is Kelly Ngenge located?
Kelly Ngenge practices at 107 Bierstadt Ct, Frederick, MD 21702. The listed phone number is (512) 788-8867.
What is Kelly Ngenge's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelly Ngenge enrolled in Medicare?
Yes. Kelly Ngenge is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Ngenge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Ngenge reassigns Medicare benefits to 3 organizations: Mental Health Assoc Of Frederick Cty (Frederick, MD), Roots Of Hope LLC (Frederick, MD) and Psychogeriatric Services LLC (Columbia, MD). Each 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 Kelly Ngenge'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 Kelly Ngenge was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Kelly Amike Ngenge, NP · NPI 1689286197
Psychiatric/Mental Health physician in Frederick, Maryland. Individual provider, active in the CMS NPPES registry since August 18, 2020.
## Identity
- **NPI:** 1689286197 (Entity type: Individual)
- **Enumerated:** August 18, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R226054 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 107 BIERSTADT CT, Frederick, MD 21702-6442
- **Phone:** (512) 788-8867
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mental Health Assoc Of Frederick Cty (NPI 1568902260, Frederick, MD); Roots Of Hope LLC (NPI 1376499376, Frederick, MD); Psychogeriatric Services LLC (NPI 1588689483, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1689286197) · Data from the CMS NPPES public registry.