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THERESA ANTWI
NPI 1053081398
Nurse Practitioner - Psychiatric/Mental Health in East Hartford, CT

Active since September 17, 2021PECOS Enrolled
89.4/100
CMS Quality Rating
1331 BURNSIDE AVE APT A4, EAST HARTFORD, CT 06108(240) 408-0736 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Theresa Antwi NPPES

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

THERESA ANTWI (NPI 1053081398) is an individual psychiatric/mental health provider in East Hartford, Connecticut, licensed in Connecticut (105066) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053081398
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTHERESA ANTWI
Location Address1331 BURNSIDE AVE APT A4East Hartford, CT 06108-1577
Mailing Address1331 Burnside Ave Apt A4East Hartford, CT 06108-1577 · (240) 408-0736
Phone(240) 408-0736
Sole ProprietorYes
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1053081398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 105066
1331 BURNSIDE AVE APT A4, East Hartford, CT 06108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Antwi 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.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Antwi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Step Up Care PC LLC
37 mi
Counselor
111 WESTCOTT RD
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group
NPI 1154884740 (718) 298-4375

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06108 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

89.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.18
Improvement Activities40
Cost71.32

Other Providers at the Same Location NPPES

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

LIVE WELL LLC
Nurse Practitioner (Psychiatric/Mental Health)
1331 BURNSIDE AVE APT A4
EAST HARTFORD, CT 06108
Capitol Planning Region (240) 408-0736

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 Antwi's NPI number?

The NPI number for Theresa Antwi is 1053081398. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Theresa Antwi located?

Theresa Antwi practices at 1331 Burnside Ave Apt A4, East Hartford, CT 06108. The listed phone number is (240) 408-0736.

What is Theresa Antwi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Theresa Antwi enrolled in Medicare?

Yes. Theresa Antwi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Antwi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Antwi reassigns Medicare benefits to Step Up Care PC LLC (Danielson, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Antwi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theresa Antwi was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.