Individual provider Active NPI

Meron Hailemariam

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1225918832
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP1057771 Issued in DC
Practice address
4555 Wisconsin Ave NW
Washington, DC 20016-4619
Phone
(866) 389-2727
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP1057771 DC Primary
Family Nurse Practitioner 363LF0000X R230156 MD

Addresses

Primary practice location

4555 Wisconsin Ave NW
Washington, DC 20016-4619

Mailing address

4648 Ripley Manor Ter
Olney, MD 20832-1865
Phone (323) 377-4971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20260224004298 DC Practitioner - Nurse Practitioner 3971084211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MC Medical Group of DC, PCGroup PAC ID 3779629894, 27 clinicians

Practice addresses (Care Compare)

4555 Wisconsin Ave NW
Washington, DC 20016-4619
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP1057771DCMDFamily Nurse Practitioner
R230156MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of DC, PC Family CurrentSince Feb 5, 2026 Accepting new patients
Minuteclinic Primary Care DC PLLC Family CurrentSince Feb 5, 2026 Accepting new patients

Locations

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

4555 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 537-1459

2240 M St NW
Washington, DC 20037
Phone (202) 296-9876

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1225918832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4648 RIPLEY MANOR TER",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321865",
            "telephone_number": "323-377-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 WISCONSIN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164619",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEMARIAM",
        "first_name": "MERON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1057771",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R230156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.