THERESA LINH TRAN NP
NPI 1013190974
Nurse Practitioner - Family in New Castle, DE

Active since December 13, 2007PECOS EnrolledAccepts Medicare Assignment
82.57/100
CMS Quality Rating
713 E BASIN RD, NEW CASTLE, DE 19720(302) 324-5740 Get Directions Write a Review

NPPES record last updated: February 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Linh Tran Np NPPES

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

THERESA LINH TRAN NP (NPI 1013190974) is an individual family provider in New Castle, Delaware, licensed in Delaware (LG0000433) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1013190974
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA LINH TRANCredential: NP
Location Address713 E BASIN RDNew Castle, DE 19720-4201
Mailing Address1 Emerald Ridge DrBear, DE 19701-2233 · (302) 832-2894
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 13, 2007
Last NPPES UpdateFebruary 22, 2011
NPI 1013190974 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
Licenses Licensed in DE · LG0000433 Licensed in PA · SP009801
713 E BASIN RD, New Castle, DE 19720

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theresa Linh Tran Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082761366
PECOS Enrollment IDI20090403000169
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19720 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.87
Improvement Activities40
Cost91.65

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.

General Practice
713 E BASIN RD
NEW CASTLE, DE 19720
Dietitian, Registered
713 E BASIN RD
NEW CASTLE, DE 19720
Nurse Practitioner
713 E BASIN RD, WILLIAM PENN HIGH SCHOOL
NEW CASTLE, DE 19720
Registered Nurse (School)
713 E BASIN RD
NEW CASTLE, DE 19720
Registered Nurse (School)
713 E BASIN RD
NEW CASTLE, DE 19720
Counselor (Professional)
713 E BASIN RD
NEW CASTLE, DE 19720
Social Worker (Clinical)
713 E BASIN RD
NEW CASTLE, DE 19720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Tran's NPI number?

The NPI number for Theresa Tran is 1013190974. It was assigned to this individual provider in the NPPES registry on December 13, 2007.

Where is Theresa Tran located?

Theresa Tran practices at 713 E Basin Rd, New Castle, DE 19720. The listed phone number is (302) 324-5740.

What is Theresa Tran's specialty?

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

Is Theresa Tran enrolled in Medicare?

Yes. Theresa Tran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Tran accept?

Health plans from AmeriHealth Caritas Next list Theresa Tran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Tran was last updated on February 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.