TERESA TYSON FNP-BC
NPI 1013011337
Nurse Practitioner - Family in Coeburn, VA

Q: What is Teresa Tyson's NPI number?

The NPI number for Teresa Tyson is 1013011337. It was assigned to this individual provider in the NPPES registry on September 8, 2006. The provider is also known as Teresa Gardner Fnp-Bc.

Q: What is Teresa Tyson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Tyson was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 08, 2006PECOS Enrolled

208 FRONT ST W, COEBURN, VA 24230(276) 455-5556 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2019, Jan 23, 2019, Jan 10, 2019 (3 updates tracked since 2019).

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About Teresa Tyson Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA TYSON FNP-BC (NPI 1013011337) is an individual family provider in Coeburn, Virginia, licensed in Virginia (0024119161) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wise.

NPPES Registry Identity

NPI1013011337

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTERESA TYSONCredential: FNP-BC

Location Address208 FRONT ST WCoeburn, VA 24230-3502

Mailing AddressPo Box 90Coeburn, VA 24230-0090 · (276) 328-8850 · Fax (276) 328-8853

Phone(276) 455-5556

Sole ProprietorNo

Enumeration DateSeptember 8, 2006

Last NPPES UpdateMarch 20, 20193 updates tracked since enumeration

✔ NPI 1013011337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024119161

208 FRONT ST W, Coeburn, VA 24230

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Other Names 1

Former Name (1)Teresa Gardner Fnp-bc

Secondary Practice Location 1

Location 15626 Patriot Dr.Wise, VA 24293 · Phone (276) 328-8850 · Fax (276) 328-8853

Other Identifiers 1

Medicaid01059873VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Tyson Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTINE MICHELLE MULLINS DNP, FNP-C

Nurse Practitioner (Family)