TSEDEY ABERRA TADESSE (APRN, BC) – Adult Health Nurse Practitioner, NPI 1164572392

TSEDEY ABERRA TADESSE (APRN, BC) is a healthcare provider. based in Plano, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, BC. They hold a License No. 635473 (TX). The NPI Number for TSEDEY ABERRA TADESSE (APRN, BC) is 1164572392

Main info

Female
Sole Proprietor
21 Years Of Experience
Name
TSEDEY ABERRA TADESSE (APRN, BC)
NPI
1164572392
Phone
(832) 724-3946
Address
3217 BREWTON DR
Enumeration Date
11 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4697262287
Graduation Year
2005 (21 years ago)
PAC ID
7810028891
Group Practice PAC ID
7315276599
Professional Enrollment ID
I20100708000866
Address ID
TX752405795DA13154RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for TSEDEY ABERRA TADESSE (APRN, BC)

  • 3217, Brewton Drive, Plano, Collin County, Texas, 75074, United States

    PLANO, TX 750748764

    Phone: (832) 724-3946

    Type: Mailing

  • Cherry Coffee Shop, 1121, West Magnolia Avenue, Fairmount, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761044435

    Phone: (817) 454-9840

    Type: Location

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 $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-05-03 • Largest payer in this snapshot: KCI USA, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
KCI USA, Inc.$25
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: 2010-07-08

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
I20100708000866INurse PractitionerTXTBD

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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes7417$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes6741$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes6446$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 75074)

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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: 7315276599View full group profile
NameSpecialtyState
Family PracticeTX
-TX
Nurse PractitionerNV
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference TSEDEY ABERRA TADESSE (APRN, BC)?
For TSEDEY ABERRA TADESSE (APRN, BC), use NPI 1164572392 as the unique 10-digit identifier.
Is TSEDEY ABERRA TADESSE (APRN, BC) still an active registrant?
TSEDEY ABERRA TADESSE (APRN, BC) carries an active NPI according to the public dataset.
What expertise is attributed to TSEDEY ABERRA TADESSE (APRN, BC)?
TSEDEY ABERRA TADESSE (APRN, BC)'s specialty line reads Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is TSEDEY ABERRA TADESSE (APRN, BC) associated with Plano?
Public fields place TSEDEY ABERRA TADESSE (APRN, BC) around Plano, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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