SELAMAWIT ADERA PA-C
NPI 1215447560
Physician Assistant in Blaine, TN

Q: What is Selamawit Adera's NPI number?

The NPI number for Selamawit Adera is 1215447560. It was assigned to this individual provider in the NPPES registry on October 1, 2017.

Q: What is Selamawit Adera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Selamawit Adera was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 01, 2017PECOS EnrolledAccepts Medicare Assignment

880 RUTLEDGE PIKE, BLAINE, TN 37709(865) 933-4110(865) 933-4729 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Jul 27, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Selamawit Adera Pa-c NPPES

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

SELAMAWIT ADERA PA-C (NPI 1215447560) is an individual physician assistant in Blaine, Tennessee, licensed in Tennessee (3363) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215447560

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSELAMAWIT ADERACredential: PA-C

Location Address880 RUTLEDGE PIKEBlaine, TN 37709-2317

Mailing Address1923 Sulphur Springs RdMorristown, TN 37813-5654 · (423) 317-9344 · Fax (423) 714-2355

Phone(865) 933-4110

Fax(865) 933-4729

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 1, 2017

Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1215447560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 3363

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

880 RUTLEDGE PIKE, Blaine, TN 37709

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Secondary Practice Location 1

Location 1438 N Cleveland StMemphis, TN 38104-7014 · Phone (901) 545-2279 · Fax (888) 905-2546

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Selamawit Adera Pa-c 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 ID5294081899

PECOS Enrollment IDI20180712001789

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

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.

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

21 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37709 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

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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 20

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

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