CARINE GOUETSO NDEKO (CRNP-ADULT) – Primary Care Nurse Practitioner, NPI 1306321443
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
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Provider Addresses for CARINE GOUETSO NDEKO (CRNP-ADULT)
23, Joyceton Terrace, Largo, Upper Marlboro, Prince George's County, Maryland, 20774, United States
UPPER MARLBORO, MD 207741490
Phone: (301) 213-3306
Type: Mailing
9135, Piscataway Road, Clinton, Prince George's County, Maryland, 20735, United States
CLINTON, MD 207352549
Phone: (301) 868-2555
Type: Location
1111 N CHARLES ST
BALTIMORE, MD 212015505
Phone: (410) 837-2050
Type: Mailing
200 HOSPITAL DR # 300
GLEN BURNIE, MD 210615884
Phone: (410) 837-2050
Type: Location
4228 Wisconsin Ave NW Ste A
Washington, DC 200162138
Phone: (202) 684-2784
Type: Location
2112 F St NW Ste 504
Washington, DC 200372761
Phone: (202) 684-2784
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221125000375 | I | Nurse Practitioner | DC | TBD |
| I20250121000543 | I | Nurse Practitioner | MD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 105 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 98 | 37 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 12 | 12 | $0 |
Insurance plans in this area (ZIP 20774)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | MD |
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