Individual provider Active NPI

Blen Tesfayesus

  • Family Nurse Practitioner
  • North Olmsted, OH
National Provider Identifier
1922335827
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024605 Issued in OH
Practice address
27713 Lorain Rd
North Olmsted, OH 44070-4019
Phone
(216) 280-0697
NPI assigned
Nov 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 773629 TX
Family Nurse Practitioner 363LF0000X AP118382 TX
Family Nurse Practitioner 363LF0000X 024605 OH Primary

Addresses

Primary practice location

27713 Lorain Rd
North Olmsted, OH 44070-4019

Mailing address

27713 Lorain Rd
North Olmsted, OH 44070-4019
Phone (216) 280-0697

Other practice location 1

2402 Whispering Cove Cir
Garland, TX 75044-4656
Phone (216) 280-0697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100209000801 TX Practitioner - Nurse Practitioner 8729121942 Reassigns benefits to 3 organizations
I20250926003707 OH Practitioner - Nurse Practitioner 8729121942 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians

Practice addresses (Care Compare)

27713 Lorain Rd
North Olmsted, OH 44070-4019
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024605OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Jun 5, 2023 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Sep 4, 2025 Accepting new patients
Lifemd Southern Patient Medical Care PC Nurse Practitioner CurrentSince Jan 16, 2026 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Jan 15, 2010 Accepting new patients
Minuteclinic Primary Care Ohio LLC Family CurrentSince Sep 4, 2025 Accepting new patients
Puopolo MD PC Nurse Practitioner CurrentSince Jan 16, 2026 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Jan 15, 2010 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family CurrentSince Jul 16, 2025 Accepting new patients
Whiteglove Medical Care - NJ, PC Nurse Practitioner PastSince Mar 5, 2014 Accepting new patients

Locations

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

27713 Lorain Rd
North Olmsted, OH 44070
Phone (440) 716-5166

1100 Hill Rd N
Pickerington, OH 43147
Phone (614) 572-6610

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

605 W Campbell Rd
Richardson, TX 75080
Phone (972) 231-3522

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: blen.tesfayesus@337577483108356.direct.elationemr.com

Organizations & group practices 9

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": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1922335827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27713 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704019",
            "telephone_number": "216-280-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27713 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704019",
            "telephone_number": "216-280-0697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 Whispering Cove Cir",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750444656",
            "country_code": "US",
            "telephone_number": "216-280-0697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESFAYESUS",
        "first_name": "BLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "773629",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118382",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.