MARTHA TADESSE CHONCHORO PMHNP-BC
NPI 1790549772
Nurse Practitioner - Psychiatric/Mental Health in Boyds, MD

Active since February 09, 2024PECOS EnrolledAccepts Medicare Assignment
18842 BROKEN OAK RD, BOYDS, MD 20841(301) 222-7604 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Martha Tadesse Chonchoro Pmhnp-bc NPPES

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

MARTHA TADESSE CHONCHORO PMHNP-BC (NPI 1790549772) is an individual psychiatric/mental health provider in Boyds, Maryland, licensed in Maryland (R212474) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790549772
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARTHA TADESSE CHONCHOROCredential: PMHNP-BC
Location Address18842 BROKEN OAK RDBoyds, MD 20841-4222
Mailing Address18842 Broken Oak RdBoyds, MD 20841-4222 · (301) 222-7604
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
NPI 1790549772 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 · R212474
18842 BROKEN OAK RD, Boyds, MD 20841

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

Martha Tadesse Chonchoro Pmhnp-bc 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 ID5698201101
PECOS Enrollment IDI20241206003605, I20250116000482
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 20841 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 Martha Chonchoro's NPI number?

The NPI number for Martha Chonchoro is 1790549772. It was assigned to this individual provider in the NPPES registry on February 9, 2024.

Where is Martha Chonchoro located?

Martha Chonchoro practices at 18842 Broken Oak Rd, Boyds, MD 20841. The listed phone number is (301) 222-7604.

What is Martha Chonchoro's specialty?

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

Is Martha Chonchoro enrolled in Medicare?

Yes. Martha Chonchoro 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 Martha Chonchoro was last updated on February 9, 2024. 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.