EYERUSALEM TEFERA
NPI 1184402232
Nurse Practitioner - Family in Shawnee, KS

Q: What is Eyerusalem Tefera's NPI number?

The NPI number for Eyerusalem Tefera is 1184402232. It was assigned to this individual provider in the NPPES registry on September 19, 2023.

Q: What is Eyerusalem Tefera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Eyerusalem Tefera was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 19, 2023PECOS EnrolledAccepts Medicare Assignment

7450 QUIVIRA RD, SHAWNEE, KS 66216(913) 706-2508 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Eyerusalem Tefera NPPES

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

EYERUSALEM TEFERA (NPI 1184402232) is an individual family provider in Shawnee, Kansas, licensed in Kansas (53-82209-052) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184402232

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEYERUSALEM TEFERA

Location Address7450 QUIVIRA RDShawnee, KS 66216-3526

Mailing Address7450 Quivira RdShawnee, KS 66216-3526

Phone(913) 706-2508

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 19, 2023

NPPES CertifiedSeptember 19, 2023

✔ NPI 1184402232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KS · 53-82209-052

7450 QUIVIRA RD, Shawnee, KS 66216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eyerusalem Tefera 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 ID7810438157

PECOS Enrollment IDI20240926000883

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 Reassignments

Medicare enrollment records show Eyerusalem Tefera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Theoria Medical

638 mi

Internal Medicine

41800 W 11 MILE RD STE 109
Novi, MI 48375

Reassigned Medicare billing, Kansas enrollment
57 clinicians in this Medicare group

NPI 1609362375 (248) 860-4634

Complexcare Medical Group Kansas H LLC

638 mi

Internal Medicine

41800 W 11 MILE RD STE 109
Novi, MI 48375

Reassigned Medicare billing, Kansas enrollment
17 clinicians in this Medicare group

NPI 1073407227 (248) 660-1220

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.

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.

154 services20 patients

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.

126 services26 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

33 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66216 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 15

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

JENNIFER SUE TERRIEN PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)