Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. BISRAT YSMASHEWA TADESSE AGPCNP-C
NPI 1386563666
Nurse Practitioner in Greenwood Village, CO

Q: What is Bisrat Tadesse's NPI number?

The NPI number for Bisrat Tadesse is 1386563666. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Q: What is Bisrat Tadesse's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bisrat Tadesse was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.

Active since July 13, 2026PECOS Enrolled

9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112(720) 325-8699 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 3, 2026, Jul 15, 2026 (2 updates tracked since 2026).

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About Mr. Bisrat Ysmashewa Tadesse Agpcnp-c NPPES

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

MR. BISRAT YSMASHEWA TADESSE AGPCNP-C (NPI 1386563666) is an individual nurse practitioner in Greenwood Village, Colorado, licensed in Colorado (AG07260071) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386563666

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. BISRAT YSMASHEWA TADESSECredential: AGPCNP-C

Location Address9250 E COSTILLA AVE STE 540Greenwood Village, CO 80112-3648

Mailing Address1633 S Andes CirAurora, CO 80017-4573 · (720) 325-8699

Phone(720) 325-8699

Sole ProprietorNo

Enumeration DateJuly 13, 2026

Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1386563666 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 CO · AG07260071

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.

9250 E COSTILLA AVE STE 540, Greenwood Village, CO 80112

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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)

Mr. Bisrat Ysmashewa Tadesse Agpcnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80112 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

KAITLYN PAIGE MARTINEZ NP

Nurse Practitioner (Acute Care)