REDIET YESHANEW TADDESSE FNP
NPI 1952945651
Nurse Practitioner - Family in Hollister, CA

Q: What is Rediet Taddesse's NPI number?

The NPI number for Rediet Taddesse is 1952945651. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Q: What is Rediet Taddesse's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rediet Taddesse was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 05, 2019PECOS Enrolled

351 FELICE DR, HOLLISTER, CA 95023(831) 637-5783(831) 637-9640 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rediet Yeshanew Taddesse Fnp NPPES

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

REDIET YESHANEW TADDESSE FNP (NPI 1952945651) is an individual family provider in Hollister, California, licensed in California (95013172) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952945651

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameREDIET YESHANEW TADDESSECredential: FNP

Location Address351 FELICE DRHollister, CA 95023-3361

Mailing Address351 Felice DrHollister, CA 95023-3361 · (831) 637-5783 · Fax (831) 637-9640

Phone(831) 637-5783

Fax(831) 637-9640

Sole ProprietorNo

Enumeration DateNovember 5, 2019

✔ NPI 1952945651 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 CA · 95013172

351 FELICE DR, Hollister, CA 95023

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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)

Rediet Yeshanew Taddesse Fnp 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 95023 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

$107.20 typical visit price

range $70.72 – $207.37

Typical copayment $26.80 (range $17.68 – $51.84)

Most-billed visit code 99203

Established Patient

$122.36 typical visit price

range $24.01 – $170.46

Typical copayment $30.59 (range $6.00 – $42.61)

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.

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