FANTAHUN MULUGETA TEDLA P.A-C
NPI 1033548144
Physician Assistant in Everett, WA

Active since November 08, 2013PECOS EnrolledAccepts Medicare Assignment
3927 RUCKER AVE, EVERETT, WA 98201(425) 339-5422(425) 339-5444 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fantahun Mulugeta Tedla P.a-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FANTAHUN MULUGETA TEDLA P.A-C (NPI 1033548144) is an individual physician assistant in Everett, Washington, licensed in Washington (PA60464318) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1033548144
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameFANTAHUN MULUGETA TEDLACredential: P.A-C
Location Address3927 RUCKER AVEEverett, WA 98201
Mailing AddressPo Box 5127Everett, WA 98206-5127 · (425) 339-5422 · Fax (425) 339-5444
Fax(425) 339-5444
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 8, 2013
Last NPPES UpdateNovember 15, 2019
NPI 1033548144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA60464318
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 623 (WV)
3927 RUCKER AVE, Everett, WA 98201

Secondary Practice Location 1

Location 1419 Brooks StCharleston, WV 25301-1811 · Phone (304) 388-6004

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Fantahun Mulugeta Tedla P.a-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668602996
PECOS Enrollment IDI20140718001605
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
38 services38 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3927 RUCKER AVE
EVERETT, WA 98201
Occupational Therapist
3927 RUCKER AVE
EVERETT, WA 98201
Clinical Nurse Specialist (Medical-Surgical)
3927 RUCKER AVE
EVERETT, WA 98201
Internal Medicine
3927 RUCKER AVE
EVERETT, WA 98201
Physical Therapist
3927 RUCKER AVE
EVERETT, WA 98201
Physician Assistant (Medical)
3927 RUCKER AVE
EVERETT, WA 98201
Nurse Anesthetist, Certified Registered
3927 RUCKER AVE
EVERETT, WA 98201
Nurse Practitioner
3927 RUCKER AVE
EVERETT, WA 98201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fantahun Tedla's NPI number?

The NPI number for Fantahun Tedla is 1033548144. It was assigned to this individual provider in the NPPES registry on November 8, 2013.

Where is Fantahun Tedla located?

Fantahun Tedla practices at 3927 Rucker Ave, Everett, WA 98201. The listed phone number is (425) 339-5422.

What is Fantahun Tedla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fantahun Tedla enrolled in Medicare?

Yes. Fantahun Tedla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Fantahun Tedla accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Fantahun Tedla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fantahun Tedla affiliated with any hospitals?

According to CMS data, Fantahun Tedla is affiliated with Swedish Edmonds Hospital and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Fantahun Tedla was last updated on November 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.