Individual provider Active NPI

Yeshewaget Legesse

  • Gerontology Nurse Practitioner
  • Garland, TX
National Provider Identifier
1487072468
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP125453 Issued in TX
Practice address
1205 Northwest Hwy
Garland, TX 75041-5835
Phone
(469) 936-0541
Fax
(877) 708-4417
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP125453 TX Primary

Addresses

Primary practice location

1205 Northwest Hwy
Garland, TX 75041-5835

Mailing address

1205 Northwest Hwy
Garland, TX 75041-5835

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yeshewaget.legesse.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150302001775 TX Practitioner - Nurse Practitioner 8123344512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3701 W Northwest Hwy
Suite 191
Dallas, TX 75220-4972
Phone (469) 606-9590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP125453TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (TX) PA Current Accepting new patients
Centerwell Senior Primary Care (TX) PA CurrentSince Jul 24, 2023 Accepting new patients
Centerwell Senior Primary Care (TX) PA CurrentSince Jul 24, 2023 Accepting new patients
Centerwell Senior Primary Care (TX) PA Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

3701 W Northwest Hwy
Ste 191
Dallas, TX 75220
Phone (469) 606-9590

3209 W Camp Wisdom Rd
Dallas, TX 75237
Phone (469) 457-2694

2562 W Pioneer Pkwy
Dwg, TX 76013
Phone (682) 282-6291

4200 South Fwy
Ste 1990
Fort Worth, TX 76115
Phone (682) 990-6491

1205 Northwest Hwy
Garland, TX 75041
Phone (469) 936-0541

3915 Spencer Hwy
Pasadena, TX 77504
Phone (713) 265-6955

Interoperability endpoints

  • Direct secure messaging: yeshewaget.legesse.p5@direct.caremoreagp.nextgenshare.com
  • Direct secure messaging: yeshewa.legesse@centerwell.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1487072468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415835",
            "telephone_number": "469-936-0541",
            "fax_number": "877-708-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGESSE",
        "first_name": "YESHEWAGET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP125453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yeshewaget.legesse.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1205 Northwest Hwy",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750415835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.