NADEW TESEMA TADDESSE (NP) – Acute Care Nurse Practitioner, NPI 1881568160

NADEW TESEMA TADDESSE (NP) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1171342 (TX). The NPI Number for NADEW TESEMA TADDESSE (NP) is 1881568160

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
NADEW TESEMA TADDESSE (NP)
NPI
1881568160
Phone
(469) 237-7944
Address
10602 STONE CANYON RD APT 150
Enumeration Date
1 October 2025
Last Update Date
1 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177014253
Graduation Year
2024 (2 years ago)
PAC ID
8729571773
Group Practice PAC ID
8426103243
Professional Enrollment ID
I20251208000999
Address ID
TX760165818DA2705XLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for NADEW TESEMA TADDESSE (NP)

  • 10602 STONE CANYON RD APT 150

    DALLAS, TX 752304428

    Phone: (469) 237-7944

    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)

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: 2025-12-08

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
I20251208000999INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75230)

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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: 8426103243View full group profile
NameSpecialtyState
Physician AssistantTX
N E U R O S U R G E R YTX
N E U R O S U R G E R YIL

Reviews

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Frequently asked questions

What number should I use to identify NADEW TESEMA TADDESSE (NP) for billing?
Administrative and clinical systems typically use NPI 1881568160 for NADEW TESEMA TADDESSE (NP).
Should I treat NADEW TESEMA TADDESSE (NP) as an active provider?
Patients and plans typically see NADEW TESEMA TADDESSE (NP) as active in the national extract.
What services align with NADEW TESEMA TADDESSE (NP)'s listing?
NADEW TESEMA TADDESSE (NP)'s public classification highlights Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit NADEW TESEMA TADDESSE (NP) in Dallas, Texas?
For routing, start with Dallas, Texas for NADEW TESEMA TADDESSE (NP), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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