KIDIST ABATE TEGEGNE APRN-CNP
NPI 1477149235
Nurse Practitioner - Primary Care in Cincinnati, OH

Active since December 16, 2020PECOS EnrolledAccepts Medicare Assignment
3917 SPRING GROVE AVE, CINCINNATI, OH 45223(513) 357-7600 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 5, 2023, May 23, 2023, Dec 16, 2020 (3 updates tracked since 2020).

About Kidist Abate Tegegne Aprn-cnp NPPES

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

KIDIST ABATE TEGEGNE APRN-CNP (NPI 1477149235) is an individual primary care provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.0028119) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477149235
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKIDIST ABATE TEGEGNECredential: APRN-CNP
Location Address3917 SPRING GROVE AVECincinnati, OH 45223-3302
Mailing Address2878 Morningridge DrCincinnati, OH 45211-8242 · (513) 378-4425
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 16, 2020
Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1477149235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in OH · APRN.CNP.0028119
3917 SPRING GROVE AVE, Cincinnati, OH 45223

Accepted Insurance

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

Kidist Abate Tegegne Aprn-cnp 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 ID2860859071
PECOS Enrollment IDI20231209000195
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 Kidist Tegegne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Primary Care
3917 SPRING GROVE AVE, NORTHSIDE HEALTH CENTER
Cincinnati, OH 45223
  • Reassigned Medicare billing, Ohio enrollment
  • 49 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45223 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 18

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

Dental Assistant
3917 SPRING GROVE AVE
CINCINNATI, OH 45223
Pharmacy (Clinic Pharmacy)
3917 SPRING GROVE AVE
CINCINNATI, OH 45223
Social Worker (Clinical)
3917 SPRING GROVE AVE
CINCINNATI, OH 45223
Pharmacist
3917 SPRING GROVE AVE
CINCINNATI, OH 45223
Pharmacist
3917 SPRING GROVE AVE
CINCINNATI, OH 45223
Pharmacist
3917 SPRING GROVE AVE
CINCINNATI, OH 45223
Family Medicine
3917 SPRING GROVE AVE
CINCINNATI, OH 45223
Dentist (General Practice)
3917 SPRING GROVE AVE
CINCINNATI, OH 45223

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 Kidist Tegegne's NPI number?

The NPI number for Kidist Tegegne is 1477149235. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Kidist Tegegne located?

Kidist Tegegne practices at 3917 Spring Grove Ave, Cincinnati, OH 45223. The listed phone number is (513) 357-7600.

What is Kidist Tegegne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kidist Tegegne enrolled in Medicare?

Yes. Kidist Tegegne 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 organization bills Medicare for Kidist Tegegne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kidist Tegegne reassigns Medicare benefits to City Of Cincinnati (Cincinnati, OH). 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 Kidist Tegegne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kidist Tegegne accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Kidist Tegegne 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.

Is Kidist Tegegne affiliated with any hospitals?

According to CMS data, Kidist Tegegne is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Kidist Tegegne was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.