TEHUT T TEFERA – Psychiatric/Mental Health Nurse Practitioner, NPI 1710401930

TEHUT T TEFERA is a healthcare provider. based in Maplewood, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 273517 (AZ). The NPI Number for TEHUT T TEFERA is 1710401930

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TEHUT T TEFERA
NPI
1710401930
Phone
Not provided
Address
3006 BARTELMY CT
Enumeration Date
30 July 2017
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6024066017
Graduation Year
2020 (6 years ago)
PAC ID
2961778774
Group Practice PAC ID
4486646197
Professional Enrollment ID
I20220712002102
Address ID
AZ850134235PH500XXRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for TEHUT T TEFERA

  • 3006, Bartelmy Lane, Maplewood, Ramsey County, Minnesota, 55109, United States

    MAPLEWOOD, MN 551091575

    Phone:

    Type: Mailing

  • Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55434, United States

    COON RAPIDS, MN 554334708

    Phone: (763) 746-9594

    Type: Location

  • PO BOX 33269

    PHOENIX, AZ 850673269

    Phone: (602) 406-4786

    Fax: (916) 636-4358

    Type: Mailing

  • 500 W THOMAS RD STE 230

    PHOENIX, AZ 850134245

    Phone: (602) 240-6999

    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: 2022-07-12

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
I20220712002102INurse PractitionerAZTBD

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
90833Psychotherapy with evaluation and management visit, 30 minutes10436$0
99214Established patient office or other outpatient visit, 30-39 minutes7936$0
99213Established patient office or other outpatient visit, 20-29 minutes6123$0
99205New patient office or other outpatient visit, 60-74 minutes1515$0
99215Established patient office or other outpatient visit, 40-54 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 55109)

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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: 4486646197View full group profile
NameSpecialtyState
-AZ
-IL
-AZ
Infectious Disease, Internal MedicineWA
-AZ
Pulmonary Disease, Critical Care (Intensivists)AZ
Diagnostic RadiologyAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Colorectal Surgery (Proctology)AZ

Reviews

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Frequently asked questions

Does TEHUT T TEFERA have a public NPI I can cite?
Public records show TEHUT T TEFERA under NPI 1710401930.
Is TEHUT T TEFERA currently accepting referrals based on NPI status?
Registry metadata lists TEHUT T TEFERA as active.
What type of care does TEHUT T TEFERA provide?
TEHUT T TEFERA's profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TEHUT T TEFERA?
TEHUT T TEFERA is associated with Maplewood, Minnesota in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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