ODETTE NDZELEN CRNP
NPI 1740057389
Nurse Practitioner - Family in Silver Spring, MD
About Odette Ndzelen Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ODETTE NDZELEN CRNP (NPI 1740057389) is an individual family provider in Silver Spring, Maryland, licensed in Maryland (R202106) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Washington State University Elson S Floyd College Of Medicine (2025).
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)
Odette Ndzelen Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Odette Ndzelen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Westminster, MD 21157
- Reassigned Medicare billing, Maryland enrollment
- 6 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 20904 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Odette Ndzelen's NPI number?
The NPI number for Odette Ndzelen is 1740057389. It was assigned to this individual provider in the NPPES registry on December 5, 2023.
Where is Odette Ndzelen located?
Odette Ndzelen practices at 13105 Serpentine Way, Silver Spring, MD 20904. The listed phone number is (240) 646-6267.
What is Odette Ndzelen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Odette Ndzelen enrolled in Medicare?
Yes. Odette Ndzelen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Odette Ndzelen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Odette Ndzelen reassigns Medicare benefits to Avail Health Medical Practice Of Florida PA (Westminster, MD). 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 Odette Ndzelen'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 Odette Ndzelen was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Odette Ndzelen, CRNP · NPI 1740057389
Family physician in Silver Spring, Maryland. Individual provider, active in the CMS NPPES registry since December 5, 2023.
## Identity
- **NPI:** 1740057389 (Entity type: Individual)
- **Enumerated:** December 5, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R202106 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13105 SERPENTINE WAY, Silver Spring, MD 20904-5338
- **Phone:** (240) 646-6267
## 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:** Avail Health Medical Practice Of Florida PA (NPI 1366306334, Westminster, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Washington State University Elson S Floyd College Of Medicine, class of 2025
## Record status
- **NPPES last updated:** December 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1740057389) · Data from the CMS NPPES public registry.