MISGANA TEKLAI
NPI 1770254393
Nurse Practitioner - Psychiatric/Mental Health in Walnut, CA

Q: What is Misgana Teklai's NPI number?

The NPI number for Misgana Teklai is 1770254393. It was assigned to this individual provider in the NPPES registry on September 23, 2021.

Q: What is Misgana Teklai's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misgana Teklai was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 September 23, 2021PECOS Enrolled

340 S LEMON AVE # 9892, WALNUT, CA 91789(415) 403-2156 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Misgana Teklai NPPES

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

MISGANA TEKLAI (NPI 1770254393) is an individual psychiatric/mental health provider in Walnut, California, licensed in New York (403627) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770254393

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMISGANA TEKLAI

Location Address340 S LEMON AVE # 9892Walnut, CA 91789-2706

Mailing Address2127 Clematis StSan Diego, CA 92105-5218 · (619) 757-5363

Phone(415) 403-2156

Sole ProprietorYes

Enumeration DateSeptember 23, 2021

NPPES CertifiedAugust 28, 2021

✔ NPI 1770254393 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 NY · 403627

340 S LEMON AVE # 9892, Walnut, CA 91789

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misgana Teklai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91789 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 5

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

MICHAEL JOSEPH NICANDRO NEVAREZ DNP, RN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)