BERESA URGESSA
NPI 1275238560
Nurse Practitioner - Psychiatric/Mental Health in Colton, CA

Q: What is Beresa Urgessa's NPI number?

The NPI number for Beresa Urgessa is 1275238560. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Beresa Urgessa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Beresa Urgessa was last updated on January 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 04, 2023PECOS Enrolled

400 N PEPPER AVE, COLTON, CA 92324(909) 580-3145 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 2, 2026, Aug 15, 2023, Apr 4, 2023 (3 updates tracked since 2023).

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About Beresa Urgessa NPPES

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

BERESA URGESSA (NPI 1275238560) is an individual psychiatric/mental health provider in Colton, California, licensed in California (95037698) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275238560

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBERESA URGESSA

Location Address400 N PEPPER AVEColton, CA 92324-1801

Mailing Address400 N Pepper AveColton, CA 92324-1801

Phone(909) 580-3145

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 4, 2023

Last NPPES UpdateJanuary 2, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2026

✔ NPI 1275238560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95037698

Also ListedRegistered NurseTaxonomy 163W00000X · License 95244841 (CA)

400 N PEPPER AVE, Colton, CA 92324

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beresa Urgessa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426528662

PECOS Enrollment IDI20260528002355

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 92324 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.