Endalenesh Tsegaye Hailu, NP
NPI 1629788948ActiveIndividual· Nurse Practitioner· Mountain View, CA
Nurse Practitioner (NP) with Sutter Bay Medical Foundation, practicing in Mountain View, California. Their prescriptions cost Medicare Part D more than their services did: $191,523 for 434 claims, against $20,154 paid for services in 2024.
Overview
| NPI | 1629788948 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Nov 28, 2022 |
| Last updated in NPPES | Mar 6, 2024 |
| Certified by provider | Mar 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95019237 | 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 | 109 |
|---|---|
| Services billed | 194 across 7 procedure codes |
| Paid by Medicare | $20,154 |
Part D prescriptions in 2024
| Prescriptions (claims) | 434 · 835 30-day fills |
|---|---|
| Patients | 108 |
| Total drug cost | $191,523 |
| Generic share | 47% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Sutter Bay Medical FoundationFremont, CA · 3,829 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 36 nurse practitioners in Mountain View · All nurse practitioners in California