JUDITH ANNE TESSEMA – Family Medicine Physician, NPI 1083059265

JUDITH ANNE TESSEMA is a healthcare provider. based in Bolivar, Tennessee. specializing in FAMILY PRACTICE. They hold a License No. 62446 (TN). The NPI Number for JUDITH ANNE TESSEMA is 1083059265

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JUDITH ANNE TESSEMA
NPI
1083059265
Phone
(731) 658-3388
Address
629 NUCKOLLS RD
Enumeration Date
1 May 2013
Last Update Date
2 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
7315482232
Graduation Year
2013 (13 years ago)
PAC ID
5294037842
Group Practice PAC ID
5799694147
Professional Enrollment ID
I20171101002883
Address ID
TN380694426ST17XXXEXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

Provider Addresses for JUDITH ANNE TESSEMA

  • 629 NUCKOLLS RD

    BOLIVAR, TN 380081599

    Phone: (731) 658-3388

    Type: Location

  • 425 N DATE ST

    ESCONDIDO, CA 920253413

    Phone:

    Type: Mailing

  • 855 E MADISON AVE

    EL CAJON, CA 920203819

    Phone: (619) 440-2751

    Type: Location

  • 1132 Industrial Dr

    Henderson, TN 383401310

    Phone: (731) 983-3175

    Type: Location

  • 17 1st St E

    Stanton, TN 380694426

    Phone: (731) 548-2232

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $435.

Total Amount is formed as General ($435) + Research ($0) + Ownership ($0) = $435.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alkermes, Inc. ($133).

Total Amount

$435

General + Research + Ownership

Payments

7

Total payment records

General Amount

$435

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2021-02-02

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
I20210202001549IFamily PracticeTNTBD

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
96127Assessment of emotional or behavioral problems1916$0
View full utilization report →

Insurance plans in this area (ZIP 38008)

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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: 5799694147View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Family PracticeTN
Nurse PractitionerTN
P S Y C H I A T R YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the standard ID for JUDITH ANNE TESSEMA in the U.S.?
In the U.S., JUDITH ANNE TESSEMA is identified by NPI 1083059265.
Quick check: is JUDITH ANNE TESSEMA active?
Public NPPES data shows JUDITH ANNE TESSEMA with an active NPI status right now.
What services align with JUDITH ANNE TESSEMA's listing?
JUDITH ANNE TESSEMA's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JUDITH ANNE TESSEMA in Bolivar, Tennessee?
For routing, start with Bolivar, Tennessee for JUDITH ANNE TESSEMA, then verify phone and hours locally.
Who maintains JUDITH ANNE TESSEMA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.