ELLENI ABAYNEH WOLDEAMANUEL
NPI 1982484051
Nurse Practitioner - Psychiatric/Mental Health in Reston, VA

Q: What is Elleni Woldeamanuel's NPI number?

The NPI number for Elleni Woldeamanuel is 1982484051. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Q: What is Elleni Woldeamanuel's specialty?

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

Active since October 04, 2023PECOS Enrolled

12007 SUNRISE VALLEY DR STE 120, RESTON, VA 20191(703) 522-2089 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Sep 20, 2024, May 9, 2024 and 1 more (4 updates tracked since 2023).

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About Elleni Abayneh Woldeamanuel NPPES

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

ELLENI ABAYNEH WOLDEAMANUEL (NPI 1982484051) is an individual psychiatric/mental health provider in Reston, Virginia, licensed in Virginia (0024188041) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1982484051

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameELLENI ABAYNEH WOLDEAMANUEL

Location Address12007 SUNRISE VALLEY DR STE 120Reston, VA 20191-3460

Mailing Address12007 Sunrise Valley Dr Ste 120Reston, VA 20191-3460 · (703) 522-2089

Phone(703) 522-2089

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 4, 2023

Last NPPES UpdateJuly 24, 20254 updates tracked since enumeration

NPPES CertifiedJuly 24, 2025

✔ NPI 1982484051 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

Licenses✔ Licensed in VA · 0024188041✔ Licensed in MD · AC005921

12007 SUNRISE VALLEY DR STE 120, Reston, VA 20191

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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 (PECOS)

Elleni Abayneh Woldeamanuel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537694062

PECOS Enrollment IDI20241121000466, I20250220000694

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20191 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.

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Other Providers at the Same Location NPPES 19

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

AMANDA ZUIDEMA PLPC

Counselor (Mental Health)