1. Home
  2. Directory
  3. Indiana
  4. Plainfield
  5. Nurse Practitioner
  6. NPI Profile

DANIEL WELDETENSAE GEBRESILASSIE
NPI 1992582761
Nurse Practitioner - Family in Plainfield, IN

Active since September 13, 2023PECOS Enrolled
3584 PENNSWOOD CT, PLAINFIELD, IN 46168(463) 999-4054 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Daniel Weldetensae Gebresilassie NPPES

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

DANIEL WELDETENSAE GEBRESILASSIE (NPI 1992582761) is an individual family provider in Plainfield, Indiana, licensed in Indiana (A28206125) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992582761
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDANIEL WELDETENSAE GEBRESILASSIE
Location Address3584 PENNSWOOD CTPlainfield, IN 46168-7878
Mailing Address3584 Pennswood CtPlainfield, IN 46168-7878 · (463) 999-4054
Phone(463) 999-4054
Sole ProprietorNo
Enumeration DateSeptember 13, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1992582761 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 IN · A28206125
3584 PENNSWOOD CT, Plainfield, IN 46168
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Weldetensae Gebresilassie 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Daniel Gebresilassie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grace Care Medical LLC
16 mi
Family
801 SHELBY ST
Indianapolis, IN 46203
  • Reassigned Medicare billing, Indiana enrollment
NPI 1932918554 (463) 999-4054
Psychiatry Of Texas PLLC
847 mi
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Indiana enrollment
  • 99 clinicians in this Medicare group
NPI 1013476027 (832) 869-4818
Psychplus Medical Associates, PLLC
847 mi
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Indiana enrollment
  • 99 clinicians in this Medicare group
NPI 1558118026 (832) 869-4818

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46168 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Daniel Gebresilassie's NPI number?

The NPI number for Daniel Gebresilassie is 1992582761. It was assigned to this individual provider in the NPPES registry on September 13, 2023.

Where is Daniel Gebresilassie located?

Daniel Gebresilassie practices at 3584 Pennswood Ct, Plainfield, IN 46168. The listed phone number is (463) 999-4054.

What is Daniel Gebresilassie's specialty?

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

Is Daniel Gebresilassie enrolled in Medicare?

Yes. Daniel Gebresilassie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daniel Gebresilassie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Gebresilassie reassigns Medicare benefits to 3 organizations: Grace Care Medical LLC (Indianapolis, IN), Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, 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 Daniel Gebresilassie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Gebresilassie accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Daniel Gebresilassie 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 Daniel Gebresilassie was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.