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SYLVIA IBETOH
NPI 1902772882
Nurse Practitioner - Psychiatric/Mental Health in Severn, MD

Active since October 16, 2025PECOS Enrolled
8536 GOLDEN EAGLE LN, SEVERN, MD 21144(469) 274-3796 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sylvia Ibetoh NPPES

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

SYLVIA IBETOH (NPI 1902772882) is an individual psychiatric/mental health provider in Severn, Maryland, licensed in Maryland (R230257) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902772882
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSYLVIA IBETOH
Location Address8536 GOLDEN EAGLE LNSevern, MD 21144-3156
Mailing Address8536 Golden Eagle LnSevern, MD 21144-3156 · (469) 274-3796
Phone(469) 274-3796
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 16, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1902772882 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 · R230257
8536 GOLDEN EAGLE LN, Severn, MD 21144
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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)

Sylvia Ibetoh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941773725
PECOS Enrollment IDI20260623004154
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 Sylvia Ibetoh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prosper Health And Behavioral Care Services
15 mi
Psychiatry
2925 LORD BALTIMORE DR STE 301
Windsor Mill, MD 21244
  • Reassigned Medicare billing, Maryland enrollment
  • 9 clinicians in this Medicare group
NPI 1801572722 (443) 869-6490

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 21144 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 Sylvia Ibetoh's NPI number?

The NPI number for Sylvia Ibetoh is 1902772882. It was assigned to this individual provider in the NPPES registry on October 16, 2025.

Where is Sylvia Ibetoh located?

Sylvia Ibetoh practices at 8536 Golden Eagle Ln, Severn, MD 21144. The listed phone number is (469) 274-3796.

What is Sylvia Ibetoh's specialty?

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

Is Sylvia Ibetoh enrolled in Medicare?

Yes. Sylvia Ibetoh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sylvia Ibetoh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sylvia Ibetoh reassigns Medicare benefits to Prosper Health And Behavioral Care Services (Windsor Mill, MD). 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 Sylvia Ibetoh'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 Sylvia Ibetoh was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.