MS. SIYAMI EGBASE TAKHA CRNP
NPI 1760995021
Nurse Practitioner - Psychiatric/Mental Health in Saint Charles, MD

Active since November 08, 2017PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
12070 OLD LINE CTR STE 211, SAINT CHARLES, MD 20602(202) 600-6748(800) 521-0943 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2026, Oct 27, 2022, Jun 12, 2019 and 2 more (5 updates tracked since 2017).

About Ms. Siyami Egbase Takha Crnp NPPES

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

MS. SIYAMI EGBASE TAKHA CRNP (NPI 1760995021) is an individual psychiatric/mental health provider in Saint Charles, Maryland, licensed in Maryland (R194882) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760995021
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SIYAMI EGBASE TAKHACredential: CRNP
Location Address12070 OLD LINE CTR STE 211Saint Charles, MD 20602-2567
Mailing Address12070 Old Line Ctr Ste 211Saint Charles, MD 20602-2567 · (202) 600-6748 · Fax (800) 521-0943
Fax(800) 521-0943
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 8, 2017
Last NPPES UpdateMarch 5, 20265 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1760995021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R194882
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License R194882 (MD)
12070 OLD LINE CTR STE 211, Saint Charles, MD 20602

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

Ms. Siyami Egbase Takha Crnp 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 ID7911335658
PECOS Enrollment IDI20200313000005
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
202 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
167 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services22 patients
Psychotherapy with evaluation and management visit, 1 hour 90838
Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.
89 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.03
Improvement Activities40

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.

Clinic/Center (Multi-Specialty)
12070 OLD LINE CTR STE 211
SAINT CHARLES, MD 20602
Nurse Practitioner (Psychiatric/Mental Health)
12070 OLD LINE CTR STE 211
WALDORF, MD 20602

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 Siyami Takha's NPI number?

The NPI number for Siyami Takha is 1760995021. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Siyami Takha located?

Siyami Takha practices at 12070 Old Line Ctr Ste 211, Saint Charles, MD 20602. The listed phone number is (202) 600-6748.

What is Siyami Takha's specialty?

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

Is Siyami Takha enrolled in Medicare?

Yes. Siyami Takha 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 Siyami Takha was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.