1. Home
  2. Directory
  3. Michigan
  4. Shelby Township
  5. Nurse Practitioner
  6. NPI Profile

TSEGA NEGASSI TESFAY
NPI 1225542202
Nurse Practitioner in Shelby Township, MI

Active since November 28, 2017PECOS Enrolled
2177 AUBURN RD, SHELBY TOWNSHIP, MI 48317(586) 731-7520 Get Directions Write a Review

NPPES record last updated: November 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tsega Negassi Tesfay NPPES

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

TSEGA NEGASSI TESFAY (NPI 1225542202) is an individual nurse practitioner in Shelby Township, Michigan, licensed in Michigan (4704249622) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225542202
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTSEGA NEGASSI TESFAY
Location Address2177 AUBURN RDShelby Township, MI 48317-3813
Mailing Address2177 Auburn RdShelby Township, MI 48317-3813 · (313) 717-7271
Phone(586) 731-7520
Sole ProprietorNo
Enumeration DateNovember 28, 2017
✔ NPI 1225542202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704249622
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2177 AUBURN RD, Shelby Township, MI 48317
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tsega Negassi Tesfay 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48317 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims33 services$6.91 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers27 claims27 services$195.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ENDOCRINE AND METABOLIC DISORDERS CENTER PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2177 AUBURN RD
SHELBY TWP, MI 48317
Macomb County (586) 737-7520
FAIZA KHAN
Physician Assistant
2177 AUBURN RD
SHELBY TOWNSHIP, MI 48317
Macomb County (586) 737-7520
KORY JOSEPHINE WELLS PA-C
Physician Assistant
2177 AUBURN RD
SHELBY TWP, MI 48317
Macomb County (586) 737-7520
ASHISH VERMA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2177 AUBURN RD
SHELBY TWP, MI 48317
Macomb County (586) 737-7520

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 Tsega Tesfay's NPI number?

The NPI number for Tsega Tesfay is 1225542202. It was assigned to this individual provider in the NPPES registry on November 28, 2017.

Where is Tsega Tesfay located?

Tsega Tesfay practices at 2177 Auburn Rd, Shelby Township, MI 48317. The listed phone number is (586) 731-7520.

What is Tsega Tesfay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tsega Tesfay enrolled in Medicare?

Yes. Tsega Tesfay is registered in the Medicare PECOS enrollment system.

What insurance does Tsega Tesfay accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and McLaren Health Plan Community and 1 other insurer list Tsega Tesfay 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 Tsega Tesfay was last updated on November 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.