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TINSAE A TOLLESA I
NPI 1184356024
Nurse Practitioner - Psychiatric/Mental Health in Winchester, TN

Active since June 29, 2022PECOS Enrolled
378 BELL DR W, WINCHESTER, TN 37398(940) 882-0570 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2025, May 8, 2025 (2 updates tracked since 2025).

About Tinsae A Tollesa I NPPES

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

TINSAE A TOLLESA I (NPI 1184356024) is an individual psychiatric/mental health provider in Winchester, Tennessee, licensed in Tennessee (31881) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184356024
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTINSAE A TOLLESA I
Location Address378 BELL DR WWinchester, TN 37398-5404
Mailing Address378 Bell Dr WWinchester, TN 37398-5404 · (940) 882-0570 · Fax (931) 815-3876
Phone(940) 882-0570
Sole ProprietorYes
Enumeration DateJune 29, 2022
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1184356024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 31881
378 BELL DR W, Winchester, TN 37398
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tinsae A Tollesa I is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tinsae Tollesa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Behavioral Health PLLC
Same address
Mental Health (Including Community Mental Health Center)
378 BELL DR W
Winchester, TN 37398
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1518850395 (940) 882-0570

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
188 services47 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.
50 services19 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37398 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

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

MERCY BEHAVIORAL HEALTH PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
378 BELL DR W
WINCHESTER, TN 37398
Franklin County (940) 882-0570

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 Tinsae Tollesa's NPI number?

The NPI number for Tinsae Tollesa is 1184356024. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Tinsae Tollesa located?

Tinsae Tollesa practices at 378 Bell Dr W, Winchester, TN 37398. The listed phone number is (940) 882-0570.

What is Tinsae Tollesa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tinsae Tollesa enrolled in Medicare?

Yes. Tinsae Tollesa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tinsae Tollesa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tinsae Tollesa reassigns Medicare benefits to Mercy Behavioral Health PLLC (Winchester, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tinsae Tollesa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tinsae Tollesa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BlueCross BlueShield of Tennessee and CareSource and 2 other insurers list Tinsae Tollesa 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.

When was this NPI record last updated?

The NPPES record for Tinsae Tollesa was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.