Individual provider Active NPI

Tiruayer Negatu

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1902057177
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R122619 Issued in MD
Practice address
920 2ND Ave S Ste 400
Minneapolis, MN 55402-4010
Phone
(612) 225-1538
NPI assigned
Oct 7, 2008
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R122619 MD Primary
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist 364SP0810X R122619 MD
Family Nurse Practitioner 363LF0000X R122619 MD

Addresses

Primary practice location

920 2ND Ave S Ste 400
Minneapolis, MN 55402-4010

Mailing address

6317 Executive Blvd
Rockville, MD 20852-3905
Phone (240) 669-6097

Other practice location 1

6317 Executive Blvd
Rockville, MD 20852-3905
Phone (240) 669-6097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090305000440 MD Practitioner - Nurse Practitioner 8527124189 Reassigns benefits to 2 organizations
I20090515000065 DC Practitioner - Nurse Practitioner 8527124189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6317 Executive Blvd
Rockville, MD 20852-3905
Phone (301) 768-7883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R122619MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 4, 2022 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Jul 29, 2019 Accepting new patients
Sophroneo Behavioral Health LLC CurrentSince Jun 15, 2022 Accepting new patients
Mep Observation Services LLC CurrentSince Dec 1, 2016 Accepting new patients
Mep Observation Services LLC CurrentSince Dec 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5410 Lynx Ln
Ste 285
Columbia, MD 21044
Phone (410) 740-3240

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

6317 Executive Blvd
Rockville, MD 20852
Phone (240) 669-6097

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1902057177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523905",
            "telephone_number": "240-669-6097",
            "fax_number": "832-336-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 2ND AVE S STE 400",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024010",
            "telephone_number": "612-225-1538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6317 Executive Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208523905",
            "country_code": "US",
            "telephone_number": "240-669-6097",
            "fax_number": "832-336-3897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGATU",
        "first_name": "TIRUAYER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R122619",
            "primary": true
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "MD",
            "license": "R122619",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R122619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.