Individual provider Active NPI

Tewoldebirhan Biru Keresemo, NP

  • Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1558034991
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0996238-NP Issued in CO
Practice address
791 Chambers Rd
Aurora, CO 80011-7112
Phone
(303) 617-2300
NPI assigned
Jul 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0996238-NP CO
Nurse Practitioner 363L00000X 0996238-NP CO Primary
Student in an Organized Health Care Education/Training Program 390200000X
Adult Health Clinical Nurse Specialist 364SA2200X 0996238-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RXN.0110013-NP CO

Addresses

Primary practice location

791 Chambers Rd
Aurora, CO 80011-7112

Mailing address

4886 S Riviera Way
Aurora, CO 80015-4708
Phone (720) 951-6865

Other practice location 1

113 Seaboard Ln Ste 200B
Franklin, TN 37067-8282
Phone (615) 905-6944

Other practice location 2

6656 Summer Grace St
Colorado Springs, CO 80923-4428
Phone (520) 612-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250907000313 CO Practitioner - Nurse Practitioner 5597267716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remind Health LLCGroup PAC ID 3274907175, 29 clinicians

Practice addresses (Care Compare)

Colorado Springs, CO 80923
Phone (520) 612-0466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RXN.0110013-NPCOMDPsychiatric/Mental Health Nurse Practitioner
0996238-NPCOMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Remind Health LLC Psychiatry CurrentSince Oct 1, 2025 Accepting new patients
Harmony Health Services PLLC Current Accepting new patients
Harmony Business Group LLC CurrentSince Jan 17, 2022 Accepting new patients
Colorado in-Home Counseling CurrentSince Oct 1, 2025 Accepting new patients

Locations

11275 E Mississippi Ave
Ste 1N2
Aurora, CO 80012
Phone (303) 997-7186

501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682

Organizations & group practices 5

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": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1558034991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4886 S RIVIERA WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800154708",
            "telephone_number": "720-951-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117112",
            "telephone_number": "303-617-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Seaboard Ln Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370678282",
            "country_code": "US",
            "telephone_number": "615-905-6944",
            "fax_number": "800-266-5158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6656 Summer Grace St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809234428",
            "country_code": "US",
            "telephone_number": "520-612-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERESEMO",
        "first_name": "TEWOLDEBIRHAN",
        "middle_name": "BIRU",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "0996238-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0996238-NP",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CO",
            "license": "0996238-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "RXN.0110013-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.