TSIGEREDA TESFAYE (NP) – Family Nurse Practitioner, NPI 1386031086

TSIGEREDA TESFAYE (NP) is a healthcare provider. based in Aliso viejo, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 95002245 (CA). The NPI Number for TSIGEREDA TESFAYE (NP) is 1386031086

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TSIGEREDA TESFAYE (NP)
NPI
1386031086
Phone
(866) 389-2727
Address
26891 Aliso Creek Rd
Enumeration Date
20 April 2015
Last Update Date
16 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7149925350
Graduation Year
2014 (12 years ago)
PAC ID
2365734308
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20160712000614
Address ID
CA928353641FU1950XDRXX401

Contacts

Secure Messaging
tesfaye1164677@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

Provider Addresses for TSIGEREDA TESFAYE (NP)

  • 26891 Aliso Creek Rd

    Aliso Viejo, CA 92656

    Phone: (866) 389-2727

    Type: Location

  • 26891 ALISO CREEK RD

    ALISO VIEJO, CA 92656

    Phone: (866) 389-2727

    Type: Location

  • 352 MONROE

    IRVINE, CA 926203651

    Phone:

    Type: Mailing

  • 1095 IRVINE BLVD

    TUSTIN, CA 927803526

    Phone: (714) 505-7110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160712000614INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2018$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1313$0
View full utilization report →

Insurance plans in this area (ZIP 92656)

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Provider's Procedures

TSIGEREDA TESFAYE (NP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERCA90670Pneumococcal vaccine for injection into muscle2323

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921993205View full group profile

Reviews

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Frequently asked questions

What is TSIGEREDA TESFAYE (NP)'s NPI number?
TSIGEREDA TESFAYE (NP)'s NPI is 1386031086 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to TSIGEREDA TESFAYE (NP)?
You should see TSIGEREDA TESFAYE (NP) as active in CMS-hosted NPPES data.
What clinical focus is listed for TSIGEREDA TESFAYE (NP)?
At a glance, TSIGEREDA TESFAYE (NP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is TSIGEREDA TESFAYE (NP) located near Aliso Viejo?
TSIGEREDA TESFAYE (NP) currently maps to Aliso Viejo, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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