EDLEWORK DESTA TAFESSE
NPI 1669189171
Nurse Practitioner - Psychiatric/Mental Health in Nashville, TN

Active since November 03, 2022PECOS Enrolled
1310 24TH AVE S, NASHVILLE, TN 37212(615) 327-4751 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2025, Jun 4, 2025, Nov 3, 2022 (3 updates tracked since 2022).

About Edlework Desta Tafesse NPPES

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

EDLEWORK DESTA TAFESSE (NPI 1669189171) is an individual psychiatric/mental health provider in Nashville, Tennessee, licensed in Tennessee (162348) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669189171
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEDLEWORK DESTA TAFESSE
Location Address1310 24TH AVE SNashville, TN 37212-2637
Mailing Address601 Benton AveNashville, TN 37204-2303 · (615) 292-9770 · Fax (615) 292-9706
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 3, 2022
Last NPPES UpdateFebruary 24, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
NPI 1669189171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TN · 162348
1310 24TH AVE S, Nashville, TN 37212

Secondary Practice Locations 2

Location 1601 Benton AveNashville, TN 37204-2303 · Phone (615) 292-9770 · Fax (615) 292-9706
Location 22637 Murfreesboro PikeNashville, TN 37217-3505 · Phone (615) 292-9770 · Fax (615) 292-9706

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edlework Desta Tafesse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406344027
PECOS Enrollment IDI20251024000280
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 37212 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

Pharmacist
1310 24TH AVE S
NASHVILLE, TN 37212
Counselor (Mental Health)
1310 24TH AVE S
NASHVILLE, TN 37212
Otolaryngology
1310 24TH AVE S
NASHVILLE, TN 37212
Nurse Practitioner (Family)
1310 24TH AVE S
NASHVILLE, TN 37212
Urology
1310 24TH AVE S
NASHVILLE, TN 37212
Pharmacist
1310 24TH AVE S
NASHVILLE, TN 37212
Nurse Practitioner (Acute Care)
1310 24TH AVE S
NASHVILLE, TN 37212
Pharmacist
1310 24TH AVE S
NASHVILLE, TN 37212

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 Edlework Tafesse's NPI number?

The NPI number for Edlework Tafesse is 1669189171. It was assigned to this individual provider in the NPPES registry on November 3, 2022.

Where is Edlework Tafesse located?

Edlework Tafesse practices at 1310 24th Ave S, Nashville, TN 37212. The listed phone number is (615) 327-4751.

What is Edlework Tafesse's specialty?

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

Is Edlework Tafesse enrolled in Medicare?

Yes. Edlework Tafesse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edlework Tafesse was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.