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MARY E MICKER PNP
NPI 1780744052
Psychiatry & Neurology - Neurology in Washington, DC

Active since December 09, 2006PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5042(202) 476-4739 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary E Micker Pnp NPPES

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

MARY E MICKER PNP (NPI 1780744052) is an individual neurology provider in Washington, District Of Columbia, licensed in District Of Columbia (RN43114) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780744052
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMARY E MICKERCredential: PNP
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2978
Mailing Address111 Michigan Ave NwWashington, DC 20010-2978 · (202) 476-5000
Phone(202) 476-5042
Fax(202) 476-4739
Sole ProprietorNo
Enumeration DateDecember 9, 2006
Last NPPES UpdateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
✔ NPI 1780744052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in DC · RN43114
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
111 MICHIGAN AVE NW, Washington, DC 20010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary E Micker Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Micker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital
Same address
Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group
NPI 1780800128 (202) 476-5000

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 20010 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA BADILLO MD
Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-2451
DR. TALITA MICHELLE JORDAN MD
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
YUE-HIN LOKE MD
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
ELSHADEY YAYEHYERADE BEKELE
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (301) 565-4279
NOURA AL DHAHERI MD
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
JIA LIU MD
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
DR. CHARLES JOHN BILLINGTON JR. MD
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
GINA JIN LEE PHARMD
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-4080

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 Mary Micker's NPI number?

The NPI number for Mary Micker is 1780744052. It was assigned to this individual provider in the NPPES registry on December 9, 2006.

Where is Mary Micker located?

Mary Micker practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5042.

What is Mary Micker's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mary Micker enrolled in Medicare?

Yes. Mary Micker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Micker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Micker reassigns Medicare benefits to Children's Hospital (Washington, DC). 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 Mary Micker'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 Mary Micker was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.