Samirawit Hailemariam, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R231364 Issued in MD

Practice address

9527 Liverpool Lane
Ellicott City, MD 21042

Phone

(214) 466-0640

NPI assigned

May 11, 2018

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novum Health Services IncorporatedGroup PAC ID 6204279045, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Novum Health Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
  • NPI 1770216871

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Novum Health Services Incorporated

  • Primary Care Clinic/Center
  • Glen Burnie, MD
  • NPI 1669238283
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1043700412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9448 SUNLIT PSGE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425994",
            "telephone_number": "214-466-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9527 LIVERPOOL LANE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21042",
            "telephone_number": "214-466-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEMARIAM",
        "first_name": "SAMIRAWIT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R231364",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R231364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Therese Gyi, PHARM.D.
• Amelia Larkin Haas, OTR/L
• Shanice Hackley, LCSW-C
• Jamiel Sharief Hafiz, LPA, LAC
• Susanne Michelle Hafiz, LAC
• Anna Lvovna Hain, LCPC
• Megan Haines, MA, CAS, NCSP, PBC
• Hak J. Seok, DDS, PC (Smile Dental Care)
• Christopher Hall, LGPC
• Uzelia Josheba Hall, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.