Samrawit Dejene Mersha

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0998851 Issued in CO

Practice address

3650 E 100TH CT
Thornton, CO 80229-3550

Phone

(720) 472-1366

NPI assigned

Mar 17, 2022

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Chriesl Infusion Centers LLCGroup PAC ID 4183048754, 14 clinicians

Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Family Care Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1790141984
  Medicare reassignment Care Compare group NPD
• Chriesl Infusion Centers LLC

  dba Axis Integrated Mental Health

  • Behavioral Neurology & Neuropsychiatry Physician
  • Aurora, CO
  • NPI 1669098778
  Medicare reassignment Care Compare group
• LG Behavioral Health of Colorado LLC

  dba BestMind Behavioral Health CO

  • Psychiatry Physician
  • Greenwood Village, CO
  • NPI 1154084689
  Medicare reassignment
• Family Care Center, LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1598535288

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1477201572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 S 20 MILE RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345666",
            "telephone_number": "720-472-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 E 100TH CT",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802293550",
            "telephone_number": "720-472-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSHA",
        "first_name": "SAMRAWIT",
        "middle_name": "DEJENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0998851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Mercer, BS
• Meaghan M. Mercer
• Virginia Meredith, LPC
• Lillian Merica
• Melissa Jean Mericle
• Patrick Hackmann Mertz, PT, DPT
• Savannah Merwin, LCSW, LAC
• Martina Carolina Mettes-Petrie
• Lauren Alise Metzger, LMT
• Patricia Ann Meuth, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Thornton, CO
• Providers in Thornton, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.