MRS. NEJAT TEWOLDE
NPI 1124583547
Nurse Practitioner in Plano, TX
NPI Status: Active since February 11, 2019
- Individual
- Female
- Nurse Practitioner
- PECOS Enrolled
About NEJAT TEWOLDE
This page provides the complete NPI Profile along with additional information for Nejat Tewolde, a provider established in Plano, Texas with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1124583547 assigned on February 2019. The practitioner's primary taxonomy code is 363L00000X with license number AP140531 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1124583547
- Provider Name
- MRS. NEJAT TEWOLDE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6200 W PARKER RD PLANO, TX 75093
- Location Phone
- (972) 981-2661
- Mailing Address
- 5940 WHITTINGDON PL PLANO, TX 75093
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-11-2019
- Last Update Date
- 10-26-2022
- Code Navigator
A nurse practitioner (NP) like Nejat Tewolde is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP140531
- License State
- TX
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare Participation & PECOS Enrollment Status
Nejat Tewolde is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up nursing facility visit per day, typically 25 minutes
Initial nursing facility visit per day, typically 45 minutes
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 621 times for 123 patientsAn initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
This service was performed 114 times for 112 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 75093 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.05
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $24.26
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 5 | 8 | 3 | 5 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 10 | 8 | 6 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 1 + 0 + 8 + 6 + 5 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1124583547 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962402396 | DR. ERIC RICHARD KAPLAN MD Individual | Colon & Rectal Surgery | 6200 W PARKER RD STE 112 PLANO, TX 75093 (972) 981-7715 |
| 1366435067 | KELLI V WATKINS MD Individual | Obstetrics & Gynecology | 6200 W PARKER RD SUITE 306, MOB 1 PLANO, TX 75093 (972) 981-7370 |
| 1932186921 | MS. LOURDES RINON CRNA Individual | Nurse Anesthetist, Certified Registered | 6200 W PARKER RD PLANO, TX 75093 (972) 981-3365 |
| 1164402301 | KENNETH J. TRIMMER MD Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 6200 W PARKER RD #302 PLANO, TX 75093 (972) 473-6216 |
| 1851360309 | MARVIN CRIDDLE CULBERTSON III MD Individual | Pediatrics (Pediatric Emergency Medicine) | 6200 W PARKER RD PLANO, TX 75093 (972) 981-8000 |
| 1376503680 | MRS. LOLA HUSSEY CRNA Individual | Nurse Anesthetist, Certified Registered | 6200 W PARKER RD PLANO, TX 75093 (972) 981-3365 |
| 1164472213 | ALFRED JOSEPH RODRIGUEZ M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 6200 W PARKER RD SUITE 215 PLANO, TX 75093 (972) 981-7800 |
| 1467406058 | THERESA A SHOUSE M.D. Individual | Pediatrics | 6200 W PARKER RD #410 PLANO, TX 75093 (972) 981-8380 |
| 1558308650 | JEANETTE L SMITH M.D. Individual | Pediatrics | 6200 W PARKER RD #410 PLANO, TX 75093 (972) 981-8380 |
| 1831136134 | DAVID C MOBLEY M.D. Individual | Pediatrics | 6200 W PARKER RD #410 PLANO, TX 75093 (972) 981-8380 |
| 1952348245 | PHYLLIS A STONE M.D. Individual | Pediatrics | 6200 W PARKER RD #410 PLANO, TX 75093 (972) 981-8380 |
| 1346289576 | BRENT A ARMSTRONG MD Individual | Emergency Medicine | 6200 W PARKER RD PLANO, TX 75093 (972) 981-8000 |
| 1780627927 | MR. THOMAS JOSEPH ALBERT M.D. Individual | Specialist | 6200 W PARKER RD PLANO, TX 75093 (972) 981-8889 |
| 1033153390 | MR. AHMED Z SYED P.A. Individual | Physician Assistant (Surgical) | 6200 W PARKER RD PLANO, TX 75093 (214) 808-3559 |
| 1760428262 | DR. MICKY S AHLUWALIA MD Individual | Anesthesiology | 6200 W PARKER RD PLANO, TX 75093 (972) 668-7460 |
| 1114944766 | DR. STACY RANDOLPH STEPHENS M.D. Individual | Obstetrics & Gynecology (Gynecology) | 6200 W PARKER RD MOB 1 SUITE 502 PLANO, TX 75093 (972) 312-1309 |
| 1619082872 | SHANE EDWARD ZATKALIK MD Individual | Emergency Medicine | 6200 W PARKER RD PLANO, TX 75093 (972) 981-8008 |
| 1356484018 | SHANNON NORWOOD RD, LD Individual | Dietitian, Registered | 6200 W PARKER RD SUITE 100 PLANO, TX 75093 (972) 981-3937 |
| 1730222480 | MRS. SAADIE ITANI MS., RD., LD Individual | Dietitian, Registered | 6200 W PARKER RD SUITE 100 PLANO, TX 75093 (972) 981-8542 |
| 1356479091 | MRS. MELISSA MARIE FEAGLEY RD, LD Individual | Dietitian, Registered | 6200 W PARKER RD PLANO, TX 75093 (972) 981-8444 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124583547, enumerated in the NPI registry as an "individual" on February 11, 2019
The provider is located at 6200 W Parker Rd Plano, Tx 75093 and the phone number is (972) 981-2661
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.05 and an average copayment of 24.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up nursing facility visit per day, typically 25 minutes and Initial nursing facility visit per day, typically 45 minutes.
This NPI record was last updated on February 11, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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