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JERUSALEM KIFLE TEFERA NP
NPI 1326915885
Nurse Practitioner - Family in Lancaster, CA

Active since October 20, 2025PECOS Enrolled
5769 W AVENUE K13, LANCASTER, CA 93536(661) 878-6163 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jerusalem Kifle Tefera Np NPPES

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

JERUSALEM KIFLE TEFERA NP (NPI 1326915885) is an individual family provider in Lancaster, California, licensed in California (95036504) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1326915885
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJERUSALEM KIFLE TEFERACredential: NP
Location Address5769 W AVENUE K13Lancaster, CA 93536-5619
Mailing Address5769 W Avenue K13Lancaster, CA 93536-5619 · (661) 878-6163
Phone(661) 878-6163
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1326915885 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 CA · 95036504
5769 W AVENUE K13, Lancaster, CA 93536
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerusalem Kifle Tefera Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032683727
PECOS Enrollment IDI20260702003756
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 Jerusalem Tefera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bartz-Altadonna Community Health Center
6.4 mi
Federally Qualified Health Center (FQHC)
43322 GINGHAM AVE
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • 70 clinicians in this Medicare group
NPI 1811279763 (661) 874-4050

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 93536 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Jerusalem Tefera's NPI number?

The NPI number for Jerusalem Tefera is 1326915885. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Jerusalem Tefera located?

Jerusalem Tefera practices at 5769 W Avenue K13, Lancaster, CA 93536. The listed phone number is (661) 878-6163.

What is Jerusalem Tefera's specialty?

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

Is Jerusalem Tefera enrolled in Medicare?

Yes. Jerusalem Tefera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerusalem Tefera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerusalem Tefera reassigns Medicare benefits to Bartz-Altadonna Community Health Center (Lancaster, CA). 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 Jerusalem Tefera'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 Jerusalem Tefera was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.