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MRS. TERESA L SHEFFIELD APRN
NPI 1023191889
Nurse Practitioner - Family in Tompkinsville, KY

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
800 N MAIN ST STE B, TOMPKINSVILLE, KY 42167(270) 487-0720(270) 487-0712 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2023, Feb 15, 2023, Nov 29, 2022 and 2 more (5 updates tracked since 2015).

About Mrs. Teresa L Sheffield Aprn NPPES

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

MRS. TERESA L SHEFFIELD APRN (NPI 1023191889) is an individual family provider in Tompkinsville, Kentucky, licensed in Kentucky (3004917) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1023191889
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TERESA L SHEFFIELDCredential: APRN
Location Address800 N MAIN ST STE BTompkinsville, KY 42167-1037
Mailing Address800 N Main StTompkinsville, KY 42167-1037 · (270) 487-0720 · Fax (270) 487-0712
Phone(270) 487-0720
Fax(270) 487-0712
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 23, 2006
Last NPPES UpdateMarch 2, 20235 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1023191889 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 KY · 3004917
800 N MAIN ST STE B, Tompkinsville, KY 42167
Open in Google Maps ↗

Other Identifiers 2

Medicaid7100040270KY
OtherK152922KY · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Mrs. Teresa L Sheffield Aprn 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 ID840393518
PECOS Enrollment IDI20070319000047
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180017
Location1301 North Race StreetGlasgow, KY 42141 · Barren County
Emergency services Birthing friendly

Monroe County Medical Center

Acute Care Hospitals · Tompkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180105
Location529 Capp Harlan RoadTompkinsville, KY 42167 · Monroe County
Emergency services

Tj Health Columbia

Acute Care Hospitals · Columbia, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180149
Location901 Westlake DriveColumbia, KY 42728 · Adair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42167 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers26 claims94 services$6.64 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims30 services$1.21 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier17 claims17 services$51.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers42 claims42 services$7.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims28 services$112.25 avg. paid by Medicare
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614
DME-Drugs Administered Through DME · category DG006N
1 supplier17 claims2,378 services$0.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

T J HEALTH COLUMBIA INC
Clinic/Center (Rural Health)
800 N MAIN ST STE B
TOMPKINSVILLE, KY 42167
Monroe County (270) 487-0720
JAMIE BRYANT LPCA
Counselor
800 N MAIN ST STE B
TOMPKINSVILLE, KY 42167
Monroe County (270) 487-0720

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 Teresa Sheffield's NPI number?

The NPI number for Teresa Sheffield is 1023191889. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Teresa Sheffield located?

Teresa Sheffield practices at 800 N Main St Ste B, Tompkinsville, KY 42167. The listed phone number is (270) 487-0720.

What is Teresa Sheffield's specialty?

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

Is Teresa Sheffield enrolled in Medicare?

Yes. Teresa Sheffield 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 Teresa Sheffield accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Oscar Health Insurance list Teresa Sheffield 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.

Is Teresa Sheffield affiliated with any hospitals?

According to CMS data, Teresa Sheffield is affiliated with T J Samson Community Hospital, Monroe County Medical Center and Tj Health Columbia.

When was this NPI record last updated?

The NPPES record for Teresa Sheffield was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.