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TSEDEY ABERRA TADESSE APRN, BC
NPI 1164572392
Nurse Practitioner - Adult Health in Fort Worth, TX

Active since January 11, 2007PECOS Enrolled
1121 W MAGNOLIA AVE, FORT WORTH, TX 76104(817) 454-9840 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tsedey Aberra Tadesse Aprn, Bc NPPES

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

TSEDEY ABERRA TADESSE APRN, BC (NPI 1164572392) is an individual adult health provider in Fort Worth, Texas, licensed in Texas (635473) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1164572392
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTSEDEY ABERRA TADESSECredential: APRN, BC
Location Address1121 W MAGNOLIA AVEFort Worth, TX 76104-4435
Mailing Address3217 Brewton DrPlano, TX 75074-8764 · (832) 724-3946
Phone(817) 454-9840
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164572392 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 · 635473
1121 W MAGNOLIA AVE, Fort Worth, TX 76104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tsedey Aberra Tadesse Aprn, Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810028891
PECOS Enrollment IDI20100708000866
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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
161 services21 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
143 services35 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
143 services23 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
76 services16 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier24 claims24 services$12.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

NANCY W REEVE RN, WHCNP
Nurse Practitioner (Women's Health)
1121 W MAGNOLIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 453-1844
LYNDA R WHEELER
Nurse Practitioner (Family)
1121 W MAGNOLIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 453-1844
BAY OUTPATIENT REHAB CLINIC LLC
Obstetrics & Gynecology (Gynecology)
1121 W MAGNOLIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 453-1844

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 Tsedey Tadesse's NPI number?

The NPI number for Tsedey Tadesse is 1164572392. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Tsedey Tadesse located?

Tsedey Tadesse practices at 1121 W Magnolia Ave, Fort Worth, TX 76104. The listed phone number is (817) 454-9840.

What is Tsedey Tadesse's specialty?

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

Is Tsedey Tadesse enrolled in Medicare?

Yes. Tsedey Tadesse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tsedey Tadesse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.