Yemesrach Tesfaye Mengesha, MSN, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R209599 Issued in MD

Practice address

7671 Quarterfield Rd Ste 301
Glen Burnie, MD 21061-4525

Phone

(855) 527-7246

NPI assigned

Mar 2, 2016

Sex

Female

Sole proprietor

No

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 DC, MD2 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

Specialty

Nurse Practitioner

Education

Johns Hopkins University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Pain Management Specialists LLCGroup PAC ID 3173513959, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yemesrach.mengesha.1@11679.direct.athenahealth.com

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.

• Advanced Pain Management Specialists, LLC

  • Interventional Pain Medicine Physician
  • Annapolis, MD
  • NPI 1861418220

  DC, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Elite Spine & Pain, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Frederick, MD
  • NPI 1376289462
  Medicare reassignment NPD
• Accessible Integrative Medicine, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Rockville, MD
  • NPI 1861986572

  DC

  Medicare reassignment
• Pain Management Associates, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Greenbelt, MD
  • NPI 1538301494

  DC

  Medicare reassignment
• Advanced Pain Management Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Silver Spring, MD
  • NPI 1376355438
  NPD
• Advanced Pain Management Specialists, LLC

  • Clinical Medical Laboratory
  • Owings Mills, MD
  • NPI 1316315740
  NPD (past)
• Georgetown Pain Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Greenbelt, MD
  • NPI 1336472356
  NPD (past)

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1932569068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 QUARTERFIELD RD STE 301",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614525",
            "telephone_number": "855-527-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Hanover Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "20770",
            "country_code": "US",
            "telephone_number": "301-220-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Greenway Center Dr Ste 940",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703555",
            "country_code": "US",
            "telephone_number": "301-220-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENGESHA",
        "first_name": "YEMESRACH",
        "middle_name": "TESFAYE",
        "credential": "MSN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R209599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lydwine Merelus, PA
• Tessa Ariel Merrill, AU.D.

• Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.