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MAHELET MAMO
NPI 1881132439
Nurse Practitioner - Family in Arlington, VA

Active since February 03, 2017PECOS Enrolled
1101 WILSON BLVD, ARLINGTON, VA 22209(703) 338-9490 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2025, Feb 3, 2017 (2 updates tracked since 2017).

About Mahelet Mamo NPPES

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

MAHELET MAMO (NPI 1881132439) is an individual family provider in Arlington, Virginia, licensed in Virginia (0024174476) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1881132439
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAHELET MAMO
Location Address1101 WILSON BLVDArlington, VA 22209-2211
Mailing Address1101 Wilson BlvdArlington, VA 22209-2211 · (703) 338-9490
Phone(703) 338-9490
Sole ProprietorYes
Enumeration DateFebruary 3, 2017
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1881132439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024174476
1101 WILSON BLVD, Arlington, VA 22209
Open in Google Maps ↗

Secondary Practice Location 1

Location 110440 Little Patuxent PkwyColumbia, MD 21044-3561 · Phone (888) 731-8994

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahelet Mamo 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 Reassignments

3

Medicare enrollment records show Mahelet Mamo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harmony Medical Transitions LLC
5.5 mi
Internal Medicine
2729 KING ST
Alexandria, VA 22302
  • Reassigned Medicare billing, District of Columbia enrollment
  • 22 clinicians in this Medicare group
NPI 1639840952 (571) 685-2015
Rahel G. Yirga MD PC
21 mi
Internal Medicine
20 PIDGEON HILL DR
Sterling, VA 20165
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 94 clinicians in this Medicare group
NPI 1558508184 (800) 969-1104
Cnp Operating Co LLC
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 24 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
228 services17 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
219 services64 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
123 services17 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
98 services41 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
83 services44 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22209 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers19 claims98 services$7.23 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier15 claims15 services$2.94 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier31 claims31 services$44.87 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers43 claims43 services$14.36 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers30 claims30 services$6.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KELLY DENEEN HEINZMAN MED LPC LMFT
Marriage & Family Therapist
1101 WILSON BLVD
ARLINGTON, VA 22209
Arlington County (703) 625-4182
METASEBIA TEREFE SHIFERAW CRNP
Nurse Practitioner (Family)
1101 WILSON BLVD
ARLINGTON, VA 22209
Arlington County (888) 731-8994

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 Mahelet Mamo's NPI number?

The NPI number for Mahelet Mamo is 1881132439. It was assigned to this individual provider in the NPPES registry on February 3, 2017.

Where is Mahelet Mamo located?

Mahelet Mamo practices at 1101 Wilson Blvd, Arlington, VA 22209. The listed phone number is (703) 338-9490.

What is Mahelet Mamo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mahelet Mamo enrolled in Medicare?

Yes. Mahelet Mamo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mahelet Mamo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahelet Mamo reassigns Medicare benefits to 3 organizations: Harmony Medical Transitions LLC (Alexandria, VA), Rahel G. Yirga MD PC (Sterling, VA) and Cnp Operating Co LLC (DC). 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 Mahelet Mamo'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 Mahelet Mamo was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.