Zeyerusalem Woldesilasse
NPI 1174292767ActiveIndividual· Nurse Practitioner, Primary Care· Sacramento, CA
Nurse Practitioner, Primary Care with Northbay Physicians Surgery Center, LLC and 1 other group, practicing in Sacramento, California. In 2024 Medicare paid $15,729 for 57 patients, and Part D covered 353 of their prescriptions, 83% of them generic.
Overview
| NPI | 1174292767 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 8, 2021 |
| Last updated in NPPES | Sep 8, 2021 |
| Certified by provider | Sep 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | NP95016910 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 223 across 14 procedure codes |
| Paid by Medicare | $15,729 |
Part D prescriptions in 2024
| Prescriptions (claims) | 353 · 378 30-day fills |
|---|---|
| Patients | 116 |
| Total drug cost | $9,594 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Northbay Physicians Surgery Center, LLCFairfield, CA · 324 clinicians
- Northbay Health Medical FoundationFairfield, CA · 213 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 33 primary care nurse practitioners in Sacramento · All primary care nurse practitioners in California