HAYLEYESUS PAULOS GULILAT MSN, RN, FNP-C
NPI 1316310170
Nurse Practitioner - Family in Fort Worth, TX

Active since November 02, 2015PECOS Enrolled
209 SAINT LOUIS AVE, FORT WORTH, TX 76104(817) 294-0934 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hayleyesus Paulos Gulilat Msn, Rn, Fnp-c NPPES

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

HAYLEYESUS PAULOS GULILAT MSN, RN, FNP-C (NPI 1316310170) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP129344) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316310170
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameHAYLEYESUS PAULOS GULILATCredential: MSN, RN, FNP-C
Location Address209 SAINT LOUIS AVEFort Worth, TX 76104-1278
Mailing Address209 Saint Louis AveFort Worth, TX 76104-1278 · (817) 294-0934
Sole ProprietorNo
Enumeration DateNovember 2, 2015
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1316310170 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 TX · AP129344
209 SAINT LOUIS AVE, Fort Worth, TX 76104

Secondary Practice Locations 2

Location 15315 Ross AveDallas, TX 75206-7418 · Phone (214) 826-2151
Location 2209 Saint Louis AveFort Worth, TX 76104-1278 · Phone (817) 294-0934

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hayleyesus Paulos Gulilat Msn, Rn, Fnp-c 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.

Medicare Billing Reassignments

7

Medicare enrollment records show Hayleyesus Gulilat reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interventional Pain Medicine
209 SAINT LOUIS AVE STE 100
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Emergency Medicine
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 328 clinicians in this Medicare group
Interventional Pain Medicine
7148 TRAIL LAKE DR
Fort Worth, TX 76123
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Mark Garza MD PLLC
  • 2 clinicians in this Medicare group
Interventional Pain Medicine
7148 TRAIL LAKE DR
Fort Worth, TX 76123
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Emergency Medicine
3500 GASTON AVE
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 1,044 clinicians in this Medicare group
Emergency Medicine
8686 NEW TRAILS DR, SUITE 100
Spring, TX 77381
  • Reassigned Medicare billing, Texas enrollment
  • 180 clinicians in this Medicare group
Emergency Medicine
500 W 4TH ST
Odessa, TX 79761
  • Reassigned Medicare billing, Texas enrollment
  • 81 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 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 3

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

Nurse Anesthetist, Certified Registered
209 SAINT LOUIS AVE
FORT WORTH, TX 76104
Nurse Practitioner (Family)
209 SAINT LOUIS AVE
FORT WORTH, TX 76104
Chiropractor (Rehabilitation)
209 SAINT LOUIS AVE
FORT WORTH, TX 76104

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 Hayleyesus Gulilat's NPI number?

The NPI number for Hayleyesus Gulilat is 1316310170. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Hayleyesus Gulilat located?

Hayleyesus Gulilat practices at 209 Saint Louis Ave, Fort Worth, TX 76104. The listed phone number is (817) 294-0934.

What is Hayleyesus Gulilat's specialty?

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

Is Hayleyesus Gulilat enrolled in Medicare?

Yes. Hayleyesus Gulilat is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Hayleyesus Gulilat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hayleyesus Gulilat reassigns Medicare benefits to 7 organizations: Axonos Medical Group PLLC (Fort Worth, TX), Integrative Emergency Services Physician Group PA (Fort Worth, TX), Mark Garza, M.D., PLLC (Fort Worth, TX), Robert D. Menzies, MD, PLLC (Fort Worth, TX), Century Integrated Partners, Inc (Dallas, TX) and 2 more organizations, listed in the Medicare section above. Each 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 Hayleyesus Gulilat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hayleyesus Gulilat accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Hayleyesus Gulilat 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 Hayleyesus Gulilat was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.