SELAMAWIT KIFLEYESUS NP
NPI 1548539174
Nurse Practitioner - Adult Health in Minneapolis, MN

Q: What is Selamawit Kifleyesus's NPI number?

The NPI number for Selamawit Kifleyesus is 1548539174. It was assigned to this individual provider in the NPPES registry on December 28, 2011.

Q: What is Selamawit Kifleyesus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since December 28, 2011PECOS EnrolledAccepts Medicare Assignment

701 PARK AVE, MINNEAPOLIS, MN 55415(612) 873-3000 Get Directions Write a Review

NPPES record last updated: December 31, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Selamawit Kifleyesus Np NPPES

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

SELAMAWIT KIFLEYESUS NP (NPI 1548539174) is an individual adult health provider in Minneapolis, Minnesota, licensed in Minnesota (A0811028) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1548539174

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSELAMAWIT KIFLEYESUSCredential: NP

Location Address701 PARK AVEMinneapolis, MN 55415-1623

Mailing Address907 Saint Paul Ave Apt 1Saint Paul, MN 55116-2068 · (651) 690-7699

Phone(612) 873-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 28, 2011

Last NPPES UpdateDecember 31, 2011

✔ NPI 1548539174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MN · A0811028

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License G0811008 (MN)

701 PARK AVE, Minneapolis, MN 55415

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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

Selamawit Kifleyesus Np 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 ID4486814472

PECOS Enrollment IDI20120329000022

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 Selamawit Kifleyesus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Clinic

0.7 mi

Family Medicine

1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403

Reassigned Medicare billing, Minnesota enrollment
2,527 clinicians in this Medicare group

NPI 1912315144 (952) 977-0700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

32 services13 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

13 services11 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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