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EKATERINA VERSACE CRNP
NPI 1962077156
Nurse Practitioner - Family in Bel Air, MD

Active since May 21, 2021PECOS Enrolled
4B NORTH AVE STE 302, BEL AIR, MD 21014(443) 819-3172 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ekaterina Versace Crnp NPPES

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

EKATERINA VERSACE CRNP (NPI 1962077156) is an individual family provider in Bel Air, Maryland, licensed in Maryland (R209076) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962077156
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEKATERINA VERSACECredential: CRNP
Location Address4B NORTH AVE STE 302Bel Air, MD 21014-2304
Mailing Address4b North Ave Ste 302Bel Air, MD 21014-2304 · (443) 819-3172
Phone(443) 819-3172
Sole ProprietorYes
Enumeration DateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1962077156 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 MD · R209076
4B NORTH AVE STE 302, Bel Air, MD 21014
Open in Google Maps ↗

Other Identifiers 1

OtherR209076MD · Board Of Nursing State Of Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ekaterina Versace Crnp 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 Reassignment

Medicare enrollment records show Ekaterina Versace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Veni Vidi Vici Treatment Services, LLC
Same address
Psychiatry
4B NORTH AVE STE 303
Bel Air, MD 21014
  • Reassigned Medicare billing, Maryland enrollment
  • 2 clinicians in this Medicare group
NPI 1942013628 (443) 819-3172

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 21014 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.

Other Providers at the Same Location NPPES 6

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

BARBARA LOUISE SMITH LCPC
Counselor (Mental Health)
4B NORTH AVE STE 302
BEL AIR, MD 21014
Harford County (443) 567-6482
VENI VIDI VICI TREATMENT SERVICES, LLC.
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
4B NORTH AVE STE 302
BEL AIR, MD 21014
Harford County (540) 760-6285
VENI VIDI VICI TREATMENT SERVICES, LLC.
Family Medicine (Addiction Medicine)
4B NORTH AVE STE 302
BEL AIR, MD 21014
Harford County (443) 819-3172
VENI VIDI VICI TREATMENT SERVICES, LLC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
4B NORTH AVE STE 302
BEL AIR, MD 21014
Harford County (540) 760-6285
VENI VIDI VICI TREATMENT SERVICES, LLC.
Clinic/Center (Methadone)
4B NORTH AVE STE 302
BEL AIR, MD 21014
Harford County (443) 819-3172
VENI VIDI VICI TREATMENT SERVICES, LLC
Clinic/Center (Rehabilitation)
4B NORTH AVE STE 302
BEL AIR, MD 21014
Harford County (410) 937-3468

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 Ekaterina Versace's NPI number?

The NPI number for Ekaterina Versace is 1962077156. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Ekaterina Versace located?

Ekaterina Versace practices at 4B North Ave Ste 302, Bel Air, MD 21014. The listed phone number is (443) 819-3172.

What is Ekaterina Versace's specialty?

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

Is Ekaterina Versace enrolled in Medicare?

Yes. Ekaterina Versace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ekaterina Versace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ekaterina Versace reassigns Medicare benefits to Veni Vidi Vici Treatment Services, LLC (Bel Air, 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 Ekaterina Versace'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 Ekaterina Versace was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.