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SEGHEN TECLE AGNP-C
NPI 1407624489
Nurse Practitioner in Taylor, MI

Active since December 19, 2023PECOS EnrolledAccepts Medicare Assignment
24887 GODDARD RD, TAYLOR, MI 48180(734) 946-7200 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Seghen Tecle Agnp-c NPPES

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

SEGHEN TECLE AGNP-C (NPI 1407624489) is an individual nurse practitioner in Taylor, Michigan, licensed in Michigan (AG03230031) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407624489
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSEGHEN TECLECredential: AGNP-C
Location Address24887 GODDARD RDTaylor, MI 48180-3930
Mailing Address24887 Goddard RdTaylor, MI 48180-3930 · (734) 946-7200
Phone(734) 946-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1407624489 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 MI · AG03230031
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.
24887 GODDARD RD, Taylor, MI 48180
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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 and accepts Medicare assignment

Seghen Tecle Agnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597290155
PECOS Enrollment IDI20241120001048, I20250520000112
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

2

Medicare enrollment records show Seghen Tecle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medstar Medical Group II LLC
398 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1376887844 (Maryland)
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403
Medstar Medical Group Anesthesiology LLC
400 mi
Anesthesiology
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 482 clinicians in this Medicare group
NPI 1558976175 (703) 558-1403

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 48180 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 7

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

MANZOOR HAROON MD
Internal Medicine
24887 GODDARD RD
TAYLOR, MI 48180
Wayne County (734) 946-7200
CHRISTINIE PETERSON FNP-BC
Nurse Practitioner (Family)
24887 GODDARD RD
TAYLOR, MI 48180
Wayne County (734) 946-5410
JESSICA ANN MERIDETH MSN, FNP-C
Nurse Practitioner (Family)
24887 GODDARD RD
TAYLOR, MI 48180
Wayne County (734) 946-7200
M A HAROON, MD, PC
Internal Medicine
24887 GODDARD RD
TAYLOR, MI 48180
Wayne County (734) 946-7200
MS. SONIA MIRZA FNP-BC
Registered Nurse (General Practice)
24887 GODDARD RD
TAYLOR, MI 48180
Wayne County (734) 946-5551
LINDA JAKUBUS
Physician Assistant
24887 GODDARD RD
TAYLOR, MI 48180
Wayne County (734) 946-7200
DR. FREDERIC NEAL LEAVITT DDS
Dentist (General Practice)
24887 GODDARD RD
TAYLOR, MI 48180
Wayne County (734) 946-8888

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 Seghen Tecle's NPI number?

The NPI number for Seghen Tecle is 1407624489. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Where is Seghen Tecle located?

Seghen Tecle practices at 24887 Goddard Rd, Taylor, MI 48180. The listed phone number is (734) 946-7200.

What is Seghen Tecle's specialty?

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

Is Seghen Tecle enrolled in Medicare?

Yes. Seghen Tecle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Seghen Tecle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seghen Tecle reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Washington, DC) and Medstar Medical Group Anesthesiology LLC (Washington, DC). 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 Seghen Tecle'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 Seghen Tecle was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.