THERESA MAXAM FNP-BC, APRN
NPI 1053293142
Family Medicine in Norwalk, CT
About Theresa Maxam Fnp-bc, Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA MAXAM FNP-BC, APRN (NPI 1053293142) is an individual family medicine provider in Norwalk, Connecticut, licensed in Connecticut (12.015053) and active in the NPI registry since July 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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 Maxam Fnp-bc, 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORWALK, CT 06850
NORWALK, CT 06850
NORWALK, CT 06850
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 Maxam's NPI number?
The NPI number for Theresa Maxam is 1053293142. It was assigned to this individual provider in the NPPES registry on July 22, 2025.
Where is Theresa Maxam located?
Theresa Maxam practices at 618 West Ave, Norwalk, CT 06850. The listed phone number is (203) 852-9525.
What is Theresa Maxam's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Theresa Maxam enrolled in Medicare?
Yes. Theresa Maxam 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.
When was this NPI record last updated?
The NPPES record for Theresa Maxam was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Theresa Maxam, FNP-BC, APRN · NPI 1053293142
Family Medicine physician in Norwalk, Connecticut. Individual provider, active in the CMS NPPES registry since July 22, 2025.
## Identity
- **NPI:** 1053293142 (Entity type: Individual)
- **Enumerated:** July 22, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 12.015053 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 618 WEST AVE, Norwalk, CT 06850-4068
- **Phone:** (203) 852-9525
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 9, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1053293142) · Data from the CMS NPPES public registry.