MRS. EDLIRA TEGU PMHNP
NPI 1215747936
Nurse Practitioner - Psychiatric/Mental Health in Elwyn, PA

Active since January 14, 2025PECOS Enrolled

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Edlira Tegu Pmhnp NPPES

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

MRS. EDLIRA TEGU PMHNP (NPI 1215747936) is an individual psychiatric/mental health provider in Elwyn, Pennsylvania, licensed in Pennsylvania (SP031152) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215747936
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. EDLIRA TEGUCredential: PMHNP
Location Address111 ELWYN RDElwyn, PA 19063-4622
Mailing Address111 Elwyn RdElwyn, PA 19063-4622
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1215747936 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 PA · SP031152
111 ELWYN RD, Elwyn, PA 19063

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Edlira Tegu Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648752980
PECOS Enrollment IDI20260305001048
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 Edlira Tegu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
112 N BROAD ST, RM 821
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19063 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
111 ELWYN RD
MEDIA, PA 19063
Counselor (Professional)
111 ELWYN RD
MEDIA, PA 19063
Occupational Therapist
111 ELWYN RD
ELWYN, PA 19063
Social Worker
111 ELWYN RD
ELWYN, PA 19063
Occupational Therapist
111 ELWYN RD
ELWYN, PA 19063
Local Education Agency (LEA)
111 ELWYN RD
ELWYN, PA 19063
Behavior Analyst
111 ELWYN RD
MEDIA, PA 19063
Physical Therapist
111 ELWYN RD
ELWYN, PA 19063

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 Edlira Tegu's NPI number?

The NPI number for Edlira Tegu is 1215747936. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Edlira Tegu located?

Edlira Tegu practices at 111 Elwyn Rd, Elwyn, PA 19063. The listed phone number is (610) 891-2000.

What is Edlira Tegu's specialty?

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

Is Edlira Tegu enrolled in Medicare?

Yes. Edlira Tegu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edlira Tegu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edlira Tegu reassigns Medicare benefits to Centralized Comprehensive Human Services, Inc. (Philadelphia, PA). 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 Edlira Tegu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edlira Tegu was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.