TAMERAYEHU TOLLA (A-GNP-C) – Adult Health Nurse Practitioner, NPI 1154020998

TAMERAYEHU TOLLA (A-GNP-C) is a healthcare provider. based in Kansas city, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials A-GNP-C. They hold a License No. 2023010980 (MO). The NPI Number for TAMERAYEHU TOLLA (A-GNP-C) is 1154020998

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
TAMERAYEHU TOLLA (A-GNP-C)
NPI
1154020998
Phone
(913) 681-2398
Address
400 E RED BRIDGE RD STE 207
Enumeration Date
1 March 2023
Last Update Date
18 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8163335485
Graduation Year
2022 (4 years ago)
PAC ID
2961868013
Group Practice PAC ID
5395098339
Professional Enrollment ID
I20230822001513
Address ID
MO641311305KA904XXSTXX417
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for TAMERAYEHU TOLLA (A-GNP-C)

  • 400 E RED BRIDGE RD STE 207

    KANSAS CITY, MO 641314030

    Phone: (913) 681-2398

    Fax: (913) 681-2416

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-08-22

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
I20230516003094INurse PractitionerKSTBD
I20230822001513INurse PractitionerMOTBD

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 64131)

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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: 5395098339View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineMI
Nurse PractitionerGA
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantMI
Nurse PractitionerTN
Nurse PractitionerOH
Nurse PractitionerNC

Reviews

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Frequently asked questions

What is TAMERAYEHU TOLLA (A-GNP-C)'s NPI number?
TAMERAYEHU TOLLA (A-GNP-C)'s NPI is 1154020998 — the number used across U.S. healthcare to identify this provider.
Is TAMERAYEHU TOLLA (A-GNP-C) still an active registrant?
TAMERAYEHU TOLLA (A-GNP-C) carries an active NPI according to the public dataset.
What clinical focus is listed for TAMERAYEHU TOLLA (A-GNP-C)?
At a glance, TAMERAYEHU TOLLA (A-GNP-C) is tied to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TAMERAYEHU TOLLA (A-GNP-C)?
Travel planning: use Kansas City, Missouri as the reference point for TAMERAYEHU TOLLA (A-GNP-C), then confirm.
Does TAMERAYEHU TOLLA (A-GNP-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.