SARA TADESSE (FNP) – Family Nurse Practitioner, NPI 1003449240

SARA TADESSE (FNP) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1002008 (TX). The NPI Number for SARA TADESSE (FNP) is 1003449240

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SARA TADESSE (FNP)
NPI
1003449240
Phone
Not provided
Address
5415 MAPLE AVE
Enumeration Date
17 February 2020
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9728073696
Graduation Year
2020 (6 years ago)
PAC ID
9032526892
Group Practice PAC ID
1153666904
Professional Enrollment ID
I20260220000043
Address ID
VA245022228LY3730XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SARA TADESSE (FNP)

  • 5415 MAPLE AVE

    DALLAS, TX 752357482

    Phone:

    Type: Mailing

  • 5415 MAPLE AVE APT 485

    DALLAS, TX 752357587

    Phone: (214) 995-1422

    Type: Location

  • 6201 HARRY HINES BLVD

    DALLAS, TX 752355202

    Phone: (214) 645-2823

    Type: Location

  • 923 PENNSYLVANIA AVE STE 100

    FORT WORTH, TX 761042254

    Phone: (817) 920-0484

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,009.

Total Amount is formed as General ($1,009) + Research ($0) + Ownership ($0) = $1,009.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($212).

Total Amount

$1,009

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,009

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2026-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210324000991INurse PractitionerTXTBD
I20260127004663INurse PractitionerFLTBD
I20260220000043INurse PractitionerVATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes205142$0
99214Established patient office or other outpatient visit, 30-39 minutes13877$0
92511Exam of the nose and throat using an endoscope8969$0
31231Diagnostic exam of nasal passages using an endoscope5644$0
31575Diagnostic exam of voice box using a flexible endoscope2119$0
View full utilization report →

Insurance plans in this area (ZIP 75235)

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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: 1153666904View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Registered Dietitian Or Nutrition ProfessionalAL

Reviews

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Frequently asked questions

What unique ID ties claims to SARA TADESSE (FNP)?
NPI 1003449240 is assigned to SARA TADESSE (FNP) under the national enumeration system.
Does this profile mean SARA TADESSE (FNP) is currently active?
Yes — SARA TADESSE (FNP) appears active in the national provider directory.
What does SARA TADESSE (FNP) treat or focus on?
Patients typically see SARA TADESSE (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for SARA TADESSE (FNP)?
We surface Dallas, Texas for SARA TADESSE (FNP) based on available NPPES addresses.
What if Dallas, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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