DERICK SONJONG PMHNP-BC
NPI 1851047690
Nurse Practitioner - Psychiatric/Mental Health in Owings Mills, MD
About Derick Sonjong Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERICK SONJONG PMHNP-BC (NPI 1851047690) is an individual psychiatric/mental health provider in Owings Mills, Maryland, licensed in Maryland (R204750) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
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 and accepts Medicare assignment
Derick Sonjong 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 Derick Sonjong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Owings Mills, MD 21117
- Reassigned Medicare billing, Maryland enrollment
Owings Mills, MD 21117
- Reassigned Medicare billing, Maryland enrollment
- 2 clinicians in this Medicare group
Baltimore, MD 21215
- Reassigned Medicare billing, Maryland enrollment
- 52 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 21117 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 Derick Sonjong's NPI number?
The NPI number for Derick Sonjong is 1851047690. It was assigned to this individual provider in the NPPES registry on March 1, 2022.
Where is Derick Sonjong located?
Derick Sonjong practices at 4507 Lyons Run Cir Apt T3, Owings Mills, MD 21117. The listed phone number is (571) 277-0779.
What is Derick Sonjong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Derick Sonjong enrolled in Medicare?
Yes. Derick Sonjong 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 Derick Sonjong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derick Sonjong reassigns Medicare benefits to 3 organizations: Crediblecare Services LLC (Owings Mills, MD), Serene Care Holdings LLC (Owings Mills, MD) and Post Acute Physician Partners, LLC (Baltimore, MD). 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 Derick Sonjong'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 Derick Sonjong was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Derick Sonjong, PMHNP-BC · NPI 1851047690
Psychiatric/Mental Health physician in Owings Mills, Maryland. Individual provider, active in the CMS NPPES registry since March 1, 2022.
## Identity
- **NPI:** 1851047690 (Entity type: Individual)
- **Enumerated:** March 1, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R204750 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4507 LYONS RUN CIR APT T3, Owings Mills, MD 21117-6979
- **Phone:** (571) 277-0779
## 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): Crediblecare Services LLC (NPI 1699503227, Owings Mills, MD); Serene Care Holdings LLC (NPI 1326748880, Owings Mills, MD); Post Acute Physician Partners, LLC (NPI 1710385554, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1851047690) · Data from the CMS NPPES public registry.