MS. TEQUILA J STATEN APRN
NPI 1043549918
Nurse Practitioner - Family in Bowling Green, KY

Q: What is Tequila Staten's NPI number?

The NPI number for Tequila Staten is 1043549918. It was assigned to this individual provider in the NPPES registry on December 23, 2009.

Q: What is Tequila Staten'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 Tequila Staten was last updated on April 4, 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 December 23, 2009PECOS Enrolled

5796 NASHVILLE RD, BOWLING GREEN, KY 42101(270) 781-6477(270) 781-6479 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Tequila J Staten Aprn NPPES

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

MS. TEQUILA J STATEN APRN (NPI 1043549918) is an individual family provider in Bowling Green, Kentucky, licensed in Kentucky (3006238) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043549918

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. TEQUILA J STATENCredential: APRN

Location Address5796 NASHVILLE RDBowling Green, KY 42101

Mailing Address201 Park StBowling Green, KY 42101-1759 · (270) 781-5111

Phone(270) 781-6477

Fax(270) 781-6479

Sole ProprietorNo

Enumeration DateDecember 23, 2009

Last NPPES UpdateApril 4, 2019

✔ NPI 1043549918 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 · 3006238

5796 NASHVILLE RD, Bowling Green, KY 42101

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Other Identifiers 1

Medicaid7100170760KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tequila J Staten Aprn 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 42101 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.

Other Providers at the Same Location NPPES 20

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

JACOB CLAYTON THOMAS PT, DPT

Physical Therapist