NETSANET TEFERA NP
NPI 1154973147
Nurse Practitioner - Adult Health in Plano, TX

Active since July 10, 2019PECOS EnrolledAccepts Medicare Assignment
2100 HEDGCOXE RD STE 100, PLANO, TX 75025(972) 801-3600(972) 801-3698 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Netsanet Tefera Np NPPES

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

NETSANET TEFERA NP (NPI 1154973147) is an individual adult health provider in Plano, Texas, licensed in Texas (AP137938) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154973147
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNETSANET TEFERACredential: NP
Location Address2100 HEDGCOXE RD STE 100Plano, TX 75025-3183
Mailing Address2100 Hedgcoxe Rd Ste 100Plano, TX 75025-3183 · (972) 801-3600 · Fax (972) 801-3698
Fax(972) 801-3698
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 10, 2019
NPI 1154973147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in TX · AP137938
2100 HEDGCOXE RD STE 100, Plano, TX 75025

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

Netsanet Tefera Np 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 ID4981933900
PECOS Enrollment IDI20190917000015
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 14

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.

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.
439 services313 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.
330 services240 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
56 services47 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
51 services51 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
50 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
47 services47 patients

Hospital Affiliations CMS Care Compare 3

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

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75025 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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 9

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

Internal Medicine
2100 HEDGCOXE RD STE 100
PLANO, TX 75025
Nurse Practitioner (Adult Health)
2100 HEDGCOXE RD STE 100
PLANO, TX 75025
Internal Medicine
2100 HEDGCOXE RD STE 100
PLANO, TX 75025
Nurse Practitioner (Family)
2100 HEDGCOXE RD STE 100
PLANO, TX 75025
Physician Assistant
2100 HEDGCOXE RD STE 100
PLANO, TX 75025
Physician Assistant
2100 HEDGCOXE RD STE 100
PLANO, TX 75025
Nurse Practitioner (Family)
2100 HEDGCOXE RD STE 100
PLANO, TX 75025
Physician Assistant
2100 HEDGCOXE RD STE 100
PLANO, TX 75025

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 Netsanet Tefera's NPI number?

The NPI number for Netsanet Tefera is 1154973147. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Netsanet Tefera located?

Netsanet Tefera practices at 2100 Hedgcoxe Rd Ste 100, Plano, TX 75025. The listed phone number is (972) 801-3600.

What is Netsanet Tefera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Netsanet Tefera enrolled in Medicare?

Yes. Netsanet Tefera 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 Netsanet Tefera accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Netsanet Tefera 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 Netsanet Tefera affiliated with any hospitals?

According to CMS data, Netsanet Tefera is affiliated with Medical Center Of Mckinney, Medical City Plano and Texas Health Presbyterian Hospital Allen.

When was this NPI record last updated?

The NPPES record for Netsanet Tefera was last updated on July 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.