Temesgen Gessisa

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

2485073 Issued in MN

Practice address

11895 32ND St N
Lake Elmo, MN 55042-2201

Phone

(612) 332-8544

NPI assigned

Mar 4, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sututa Home Healthcare Services LLC

  • Home Health Agency
  • Lake Elmo, MN
  • NPI 1174321947
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1255139366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11895 32ND ST N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550422201",
            "telephone_number": "612-332-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11895 32ND ST N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550422201",
            "telephone_number": "612-332-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESSISA",
        "first_name": "TEMESGEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MN",
            "license": "2485073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstyn Hedahl Fulton, DPT
• Linda Gale, M.A., LMFT
• Christina Osslund Gandhi
• Justin Quilop Garcia, MD
• Aryam Gebreamlak
• Gilbert K Ghong, LPCC
• Ellen Giere, C.F.N.P.
• Dennis James Grabowski, DDS
• Grace Medical Inc.
• Richard Craig Graham, M.D.

• Medical-Surgical Registered Nurse in Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Medical-Surgical Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.