Individual provider Active NPI

Beekam Temesgen Tolessa, FNP

  • Family Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1720752728
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8333 Issued in MN
Practice address
451 Dunlap St N
Saint Paul, MN 55104-4619
Phone
(651) 647-2100
NPI assigned
Aug 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8333 MN Primary

Addresses

Primary practice location

451 Dunlap St N
Saint Paul, MN 55104-4619

Mailing address

902 County Road D W Apt 218
New Brighton, MN 55112-7539
Phone (757) 401-2817

Other practice location 1

1801 Nicollet Ave
Minneapolis, MN 55403-3791
Phone (757) 401-2817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20220201001734 MN Practitioner - Nurse Practitioner 9436542131 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Feb 14, 2025 Accepting new patients
Group Health, Inc. CurrentSince Feb 14, 2025 Accepting new patients
Matrix Medical Plus CurrentSince Jun 1, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

451 Dunlap St N
Saint Paul, MN 55104
Phone (651) 647-2100

Organizations & group practices 3

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1720752728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 COUNTY ROAD D W APT 218",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127539",
            "telephone_number": "757-401-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 DUNLAP ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044619",
            "telephone_number": "651-647-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Nicollet Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554033791",
            "country_code": "US",
            "telephone_number": "757-401-2817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLESSA",
        "first_name": "BEEKAM",
        "middle_name": "TEMESGEN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.