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Eyerusalem Tefera

NPI 1184402232ActiveIndividual· Nurse Practitioner, Family· Shawnee, KS

Nurse Practitioner, Family with Theoria Medical, practicing in Shawnee, Kansas. 53 Medicare patients in 2024, $23,436 paid; nearly all of their 178 Part D prescriptions were generic (96%).

Overview

NPI1184402232
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 19, 2023
Last updated in NPPESSep 19, 2023
Certified by providerSep 19, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X53-82209-052KS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (KS)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients53
Services billed323 across 5 procedure codes
Paid by Medicare$23,436

Part D prescriptions in 2024

Prescriptions (claims)178 · 180 30-day fills
Patients55
Total drug cost$4,374
Generic share96% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyNurse Practitioner

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other family nurse practitioners in Shawnee

All 54 family nurse practitioners in Shawnee · All family nurse practitioners in Kansas