Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TEWOLDEBIRHAN BIRU KERESEMO NP
NPI 1558034991
Nurse Practitioner - Psychiatric/Mental Health in Aurora, CO

Active since July 30, 2021PECOS Enrolled
11275 E MISSISSIPPI AVE STE 1N2, AURORA, CO 80012(720) 951-6865 Get Directions Write a Review

NPPES record last updated: October 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 31, 2026, Jul 30, 2021 (2 updates tracked since 2021).

About Tewoldebirhan Biru Keresemo Np NPPES

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

TEWOLDEBIRHAN BIRU KERESEMO NP (NPI 1558034991) is an individual psychiatric/mental health provider in Aurora, Colorado, licensed in Colorado (APN.0996238-NP) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558034991
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTEWOLDEBIRHAN BIRU KERESEMOCredential: NP
Location Address11275 E MISSISSIPPI AVE STE 1N2Aurora, CO 80012-2819
Mailing Address4886 S Riviera WayAurora, CO 80015-4708 · (720) 951-6865
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 30, 2021
Last NPPES UpdateOctober 31, 20262 updates tracked since enumeration
NPPES CertifiedOctober 31, 2026
✔ NPI 1558034991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CO · APN.0996238-NP
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APN.0996238-NP (CO)
11275 E MISSISSIPPI AVE STE 1N2, Aurora, CO 80012

Secondary Practice Location 1

Location 16656 Summer Grace StColorado Springs, CO 80923-4428 · Phone (520) 612-0466

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

Tewoldebirhan Biru Keresemo 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 ID5597267716
PECOS Enrollment IDI20250907000313
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 Tewoldebirhan Keresemo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
501 S CHERRY ST STE 820
Denver, CO 80246
  • Reassigned Medicare billing, Colorado enrollment
  • 76 clinicians in this Medicare group
Psychiatry
4282 N QUAIL CANYON DR
Tucson, AZ 85750
  • Reassigned Medicare billing, Colorado enrollment
  • 28 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80012 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 2

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

In Home Supportive Care
11275 E MISSISSIPPI AVE STE 1N2
AURORA, CO 80012
Clinic/Center (Mental Health (Including Community Mental Health Center))
11275 E MISSISSIPPI AVE STE 1N2
AURORA, CO 80012

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 Tewoldebirhan Keresemo's NPI number?

The NPI number for Tewoldebirhan Keresemo is 1558034991. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Where is Tewoldebirhan Keresemo located?

Tewoldebirhan Keresemo practices at 11275 E Mississippi Ave Ste 1n2, Aurora, CO 80012. The listed phone number is (720) 951-6865.

What is Tewoldebirhan Keresemo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tewoldebirhan Keresemo enrolled in Medicare?

Yes. Tewoldebirhan Keresemo 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 Tewoldebirhan Keresemo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tewoldebirhan Keresemo reassigns Medicare benefits to 2 organizations: Colorado In-Home Counseling (Denver, CO) and Remind Health LLC (Tucson, AZ). 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 Tewoldebirhan Keresemo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tewoldebirhan Keresemo accept?

Health plans from Cigna HealthCare of Arizona, Inc and Select Health list Tewoldebirhan Keresemo 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.

When was this NPI record last updated?

The NPPES record for Tewoldebirhan Keresemo was last updated on October 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.