YETNAYET TESSEMA – Psychiatric/Mental Health Nurse Practitioner, NPI 1306301866

YETNAYET TESSEMA is a healthcare provider. based in Tifton, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN240416 (GA). The NPI Number for YETNAYET TESSEMA is 1306301866

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
YETNAYET TESSEMA
NPI
1306301866
Phone
(229) 391-3500
Address
1948 OLD OCILLA RD
Enumeration Date
8 February 2019
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8134034423
Graduation Year
2018 (8 years ago)
PAC ID
9234562307
Group Practice PAC ID
3577872605
Professional Enrollment ID
I20241009003294
Address ID
FL335115509BR1044XBLVD402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:7State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for YETNAYET TESSEMA

  • 1948, Old Ocilla Road, Tifton, Tift County, Georgia, 31794, United States

    TIFTON, GA 317941644

    Phone: (229) 391-3500

    Type: Mailing

  • 400 E SHERIDAN RD

    MELBOURNE, FL 329013184

    Phone: (321) 722-5200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: ABBVIE INC. ($45).

Total Amount

$68

General + Research + Ownership

Payments

4

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$45
Medtronic, Inc.$23
View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191203001761INurse PractitionerGATBD
I20241009003294INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31794)

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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: 3577872605View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Mental Health CounselorFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for YETNAYET TESSEMA in U.S. healthcare records?
The official identifier for YETNAYET TESSEMA is NPI 1306301866.
Is there an active status for YETNAYET TESSEMA?
For scheduling context, YETNAYET TESSEMA is shown as active in the registry.
What expertise is attributed to YETNAYET TESSEMA?
YETNAYET TESSEMA's specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with YETNAYET TESSEMA?
Directory geography for YETNAYET TESSEMA centers on Tifton, Georgia.
Can I trust this NPI listing for YETNAYET TESSEMA?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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