CARISSA TESAREK PA-C
NPI 1558827642
Physician Assistant in Omaha, NE

Q: What is Carissa Tesarek's NPI number?

The NPI number for Carissa Tesarek is 1558827642. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Q: What is Carissa Tesarek's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Carissa Tesarek was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since February 14, 2019PECOS EnrolledAccepts Medicare Assignment

81.29/100

CMS Quality Rating

8303 DODGE ST STE 250, OMAHA, NE 68114(402) 354-8124(402) 354-8127 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2019, Feb 14, 2019 (2 updates tracked since 2019).

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About Carissa Tesarek Pa-c NPPES

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

CARISSA TESAREK PA-C (NPI 1558827642) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (2334) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558827642

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCARISSA TESAREKCredential: PA-C

Location Address8303 DODGE ST STE 250Omaha, NE 68114-4108

Mailing Address8303 Dodge St Ste 250Omaha, NE 68114-4108 · (402) 354-8124 · Fax (402) 354-8127

Phone(402) 354-8124

Fax(402) 354-8127

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 14, 2019

Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration

NPPES CertifiedOctober 27, 2025

✔ NPI 1558827642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NE · 2334

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8303 DODGE ST STE 250, Omaha, NE 68114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.Insurance ›

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

Carissa Tesarek Pa-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 ID6002157070

PECOS Enrollment IDI20190402000265

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.

Hospital Affiliations CMS Care Compare 3

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

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160047

Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County

Emergency services Birthing friendly

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280040

Location8303 Dodge StOmaha, NE 68114 · Douglas County

Emergency services Birthing friendly

Methodist Fremont Health

Acute Care Hospitals · Fremont, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280077

Location450 East 23rd StFremont, NE 68025 · Dodge County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68114 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.56

Promoting Interoperability

Improvement Activities

Cost

43.69

Other Providers at the Same Location NPPES 6

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

RACHEL M KRANIEWSKI APRN

Nurse Practitioner