MS. TESSA POULSEN PA-C
NPI 1386944304
Physician Assistant in Twin Falls, ID

Active since October 25, 2010PECOS Enrolled
325 MARTIN ST, TWIN FALLS, ID 83301(208) 734-0451(208) 734-0452 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Tessa Poulsen Pa-c NPPES

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

MS. TESSA POULSEN PA-C (NPI 1386944304) is an individual physician assistant in Twin Falls, Idaho, licensed in Idaho (PA-1002) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386944304
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. TESSA POULSENCredential: PA-C
Location Address325 MARTIN STTwin Falls, ID 83301-4563
Mailing Address1404 Pomerelle Ave, Ste BBurley, ID 83318-2013 · (208) 734-3312 · Fax (208) 734-5036
Fax(208) 734-0452
Sole ProprietorNo
Enumeration DateOctober 25, 2010
Last NPPES UpdateDecember 7, 2016
NPI 1386944304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ID · PA-1002 Licensed in CA · PA21275
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

325 MARTIN ST, Twin Falls, ID 83301

Other Names 1

Former Name (1)Mrs. Tessa A Whiteley Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Tessa Poulsen Pa-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 83301 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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.

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier17 claims17 services$38.60 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier17 claims34 services$2.52 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.

Dentist (General Practice)
325 MARTIN ST
TWIN FALLS, ID 83301
Clinic/Center (Federally Qualified Health Center (FQHC))
325 MARTIN ST
TWIN FALLS, ID 83301
Physician Assistant (Medical)
325 MARTIN ST
TWIN FALLS, ID 83301
Nurse Practitioner (Family)
325 MARTIN ST
TWIN FALLS, ID 83301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386944304, enumerated as an "individual" on October 25, 2010.

The provider is located at 325 MARTIN ST TWIN FALLS, ID 83301 and the phone number is (208) 734-0451.

Physician Assistant with taxonomy code 363A00000X.