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ELEANOR DZODZOMENYO CRNP, FNP-BC
NPI 1942920202
Nurse Practitioner in Germantown, MD

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
20410 OBSERVATION DR STE 100, GERMANTOWN, MD 20876(301) 762-0277 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2026, Aug 29, 2022 (2 updates tracked since 2022).

About Eleanor Dzodzomenyo Crnp, Fnp-bc NPPES

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

ELEANOR DZODZOMENYO CRNP, FNP-BC (NPI 1942920202) is an individual nurse practitioner in Germantown, Maryland, licensed in Maryland (R205405) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942920202
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELEANOR DZODZOMENYOCredential: CRNP, FNP-BC
Location Address20410 OBSERVATION DR STE 100Germantown, MD 20876-6419
Mailing Address20410 Observation Dr Ste 100Germantown, MD 20876-6419 · (301) 762-0277
Phone(301) 762-0277
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 29, 2022
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1942920202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R205405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
20410 OBSERVATION DR STE 100, Germantown, MD 20876
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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

Eleanor Dzodzomenyo Crnp, Fnp-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 ID8820447618
PECOS Enrollment IDI20231205002325
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services29 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
28 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20876 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER LYNN MANJO N.P.
Nurse Practitioner (Acute Care)
20410 OBSERVATION DR STE 100
GERMANTOWN, MD 20876
Montgomery County (301) 762-0277

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 Eleanor Dzodzomenyo's NPI number?

The NPI number for Eleanor Dzodzomenyo is 1942920202. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Eleanor Dzodzomenyo located?

Eleanor Dzodzomenyo practices at 20410 Observation Dr Ste 100, Germantown, MD 20876. The listed phone number is (301) 762-0277.

What is Eleanor Dzodzomenyo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Eleanor Dzodzomenyo enrolled in Medicare?

Yes. Eleanor Dzodzomenyo 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 Eleanor Dzodzomenyo was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.