TSEDAY TSEGAYE SIME FNP-BC
NPI 1831857895
Nurse Practitioner - Family in Fayetteville, NC

Active since December 07, 2021PECOS EnrolledAccepts Medicare Assignment
513 OWEN DR, FAYETTEVILLE, NC 28304(323) 945-3961(971) 350-1536 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2026, Apr 4, 2024, Dec 7, 2021 (3 updates tracked since 2021).

About Tseday Tsegaye Sime Fnp-bc NPPES

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

TSEDAY TSEGAYE SIME FNP-BC (NPI 1831857895) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5015858) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1831857895
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTSEDAY TSEGAYE SIMECredential: FNP-BC
Location Address513 OWEN DRFayetteville, NC 28304-3433
Mailing Address112 Sutton StFayetteville, NC 28305-4750 · (323) 945-3961 · Fax (971) 350-1536
Fax(971) 350-1536
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 7, 2021
Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1831857895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5015858
513 OWEN DR, Fayetteville, NC 28304

Secondary Practice Locations 2

Location 12301 Robeson St Ste 202Fayetteville, NC 28305-5641 · Phone (323) 718-9354
Location 2150 Francam Dr # 120Fayetteville, NC 28311-4500 · Phone (910) 487-1100

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

Tseday Tsegaye Sime Fnp-bc 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 ID1052796190
PECOS Enrollment IDI20220909003089
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

5

Medicare enrollment records show Tseday Sime reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
513 OWEN DR
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
Urgent Care
217 GLENSFORD DR, SUITE A
Fayetteville, NC 28314
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Matrix Occupational Health PC
  • 55 clinicians in this Medicare group
Internal Medicine
2265 NC HIGHWAY 24 27 E
Biscoe, NC 27209
  • Reassigned Medicare billing, North Carolina enrollment
  • 123 clinicians in this Medicare group
Family Medicine
7010 NC HIGHWAY 751
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Fastmed PC
  • 117 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Surgery
513 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine
513 OWEN DR
FAYETTEVILLE, NC 28304
Surgery
513 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine
513 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine
513 OWEN DR
FAYETTEVILLE, NC 28304

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 Tseday Sime's NPI number?

The NPI number for Tseday Sime is 1831857895. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Tseday Sime located?

Tseday Sime practices at 513 Owen Dr, Fayetteville, NC 28304. The listed phone number is (323) 945-3961.

What is Tseday Sime's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tseday Sime enrolled in Medicare?

Yes. Tseday Sime 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 Tseday Sime's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tseday Sime reassigns Medicare benefits to 5 organizations: 5M Medical Services PC (Fayetteville, NC), Matrix Occupational Health P.C. (Fayetteville, NC), Carolina Quickcare Family Practice, PLLC (Biscoe, NC), Fastmed P.C. (Durham, NC) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Tseday Sime's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tseday Sime accept?

Health plans from Blue Cross and Blue Shield of NC list Tseday Sime 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 Tseday Sime was last updated on January 5, 2026. 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.