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ZEYERUSALEM WOLDESILASSE
NPI 1174292767
Nurse Practitioner - Primary Care in Sacramento, CA

Active since September 08, 2021PECOS EnrolledAccepts Medicare Assignment
10385 OLD PLACERVILLE RD, SACRAMENTO, CA 95827(916) 448-1770(916) 448-3015 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zeyerusalem Woldesilasse NPPES

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

ZEYERUSALEM WOLDESILASSE (NPI 1174292767) is an individual primary care provider in Sacramento, California, licensed in California (NP95016910) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174292767
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameZEYERUSALEM WOLDESILASSE
Location Address10385 OLD PLACERVILLE RDSacramento, CA 95827-2506
Mailing Address5201 Nectar CirElk Grove, CA 95757-4333 · (602) 570-4281
Phone(916) 448-1770
Fax(916) 448-3015
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1174292767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · NP95016910
10385 OLD PLACERVILLE RD, Sacramento, CA 95827
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Other Identifiers 1

MedicaidNP95016910CA

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

Zeyerusalem Woldesilasse 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 ID3779975073
PECOS Enrollment IDI20220119000297
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 2

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.
148 services44 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
34 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95827 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 2

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

ARSHDEEP KAUR
Physician Assistant
10385 OLD PLACERVILLE RD
SACRAMENTO, CA 95827
Sacramento County (916) 448-1770
MR. KEVIN DARELLE GORDON NP
Nurse Practitioner
10385 OLD PLACERVILLE RD
SACRAMENTO, CA 95827
Sacramento County (916) 448-1770

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 Zeyerusalem Woldesilasse's NPI number?

The NPI number for Zeyerusalem Woldesilasse is 1174292767. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Zeyerusalem Woldesilasse located?

Zeyerusalem Woldesilasse practices at 10385 Old Placerville Rd, Sacramento, CA 95827. The listed phone number is (916) 448-1770.

What is Zeyerusalem Woldesilasse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Zeyerusalem Woldesilasse enrolled in Medicare?

Yes. Zeyerusalem Woldesilasse 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.

When was this NPI record last updated?

The NPPES record for Zeyerusalem Woldesilasse was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.