Daniel Weldetensae Gebresilassie

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A28206125 Issued in IN

Practice address

3584 Pennswood CT
Plainfield, IN 46168-7878

Phone

(463) 999-4054

NPI assigned

Sep 13, 2023

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

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Grace Care Medical LLC

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1932918554
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1992582761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 PENNSWOOD CT",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461687878",
            "telephone_number": "463-999-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 PENNSWOOD CT",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461687878",
            "telephone_number": "463-999-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRESILASSIE",
        "first_name": "DANIEL",
        "middle_name": "WELDETENSAE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "A28206125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrian Gaddie, RBT
• Honeybee Garal, PT
• Grecia Garcia, RBT
• Cierra Gary, RBT
• Stephen Gearhart, LCSW
• Desarae Gedek, RBT
• Angela Geissman, FNP
• Skylar Rae Gibboney, RBT
• Alexis Gibson, RBT
• Averi Gilley, RBT

• Family Nurse Practitioner in Plainfield, IN
• Providers in Plainfield, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.