MARTHA TADESSE CHONCHORO PMHNP-BC
NPI 1790549772
Nurse Practitioner - Psychiatric/Mental Health in Boyds, MD
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Martha Chonchoro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Landover, MD 20785
- Reassigned Medicare billing, District of Columbia enrollment
- 17 clinicians in this Medicare group
Fredericksburg, VA 22407
- Reassigned Medicare billing, Virginia enrollment
- 6 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia enrollment
- 1,424 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 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.
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.
Which organizations bill Medicare for Martha Chonchoro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martha Chonchoro reassigns Medicare benefits to 3 organizations: Interdynamics, Inc. (Landover, MD), Holistic Wellness Group LLC (Fredericksburg, VA) and Grow Healthcare Group PA (Miami, FL). 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 Martha Chonchoro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Martha Chonchoro accept?
Health plans from Oscar Health list Martha Chonchoro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Martha Tadesse Chonchoro, PMHNP-BC · NPI 1790549772
Psychiatric/Mental Health physician in Boyds, Maryland. Individual provider, active in the CMS NPPES registry since February 9, 2024.
## Identity
- **NPI:** 1790549772 (Entity type: Individual)
- **Enumerated:** February 9, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R212474 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 18842 BROKEN OAK RD, Boyds, MD 20841-4222
- **Phone:** (301) 222-7604
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Interdynamics, Inc. (NPI 1952570343, Landover, MD); Holistic Wellness Group LLC (NPI 1962199745, Fredericksburg, VA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790549772) · Data from the CMS NPPES public registry.