TEWOLDEBIRHAN BIRU KERESEMO NP
NPI 1558034991
Nurse Practitioner in Aurora, CO

Q: 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.

Q: What is Tewoldebirhan Keresemo's specialty?

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

Active since July 30, 2021PECOS EnrolledAccepts Medicare Assignment

791 CHAMBERS RD, AURORA, CO 80011(303) 617-2300 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 nurse practitioner in Aurora, Colorado, licensed in Colorado (0996238-NP) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558034991

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameTEWOLDEBIRHAN BIRU KERESEMOCredential: NP

Location Address791 CHAMBERS RDAurora, CO 80011-7112

Mailing Address4886 S Riviera WayAurora, CO 80015-4708 · (720) 951-6865

Phone(303) 617-2300

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 30, 2021

Last NPPES UpdateOctober 2, 2025

NPPES CertifiedOctober 2, 2025

✔ NPI 1558034991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CO · 0996238-NP

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.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 0996238-NP (CO)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RXN.0110013-NP (CO)

Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 0996238-NP (CO)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

791 CHAMBERS RD, Aurora, CO 80011

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Secondary Practice Locations 2

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

Location 2113 Seaboard Ln Ste 200BFranklin, TN 37067-8282 · Phone (615) 905-6944 · Fax (800) 266-5158

Medicare Participation & PECOS CMS

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80011 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 20

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

RASHINA SHAMBE

Nurse Practitioner (Psychiatric/Mental Health)