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TERESA H POOLE RN MSN FNPC
NPI 1063483477
Nurse Practitioner - Family in Lewisburg, WV

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
400 N JEFFERSON ST, LEWISBURG, WV 24901(304) 645-3220(304) 645-4103 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teresa H Poole Rn Msn Fnpc NPPES

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

TERESA H POOLE RN MSN FNPC (NPI 1063483477) is an individual family provider in Lewisburg, West Virginia, licensed in West Virginia (35339) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lewisburg, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1063483477
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA H POOLECredential: RN MSN FNPC
Location Address400 N JEFFERSON STLewisburg, WV 24901
Mailing Address400 N Jefferson StLewisburg, WV 24901 · (304) 645-3220 · Fax (304) 645-4103
Phone(304) 645-3220
Fax(304) 645-4103
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1063483477 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 WV · 35339
400 N JEFFERSON ST, Lewisburg, WV 24901
Open in Google Maps ↗

Secondary Practice Location 1

Location 11560 Jefferson St NLewisburg, WV 24901-2203 · Phone (304) 645-2164

Other Identifiers 1

Medicaid7104006000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Teresa H Poole Rn Msn Fnpc 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 ID5698802270
PECOS Enrollment IDI20100430000239
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 7

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.
57 services57 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
34 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services27 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
25 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24901 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
98%56 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%56 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 21 patients
Patients totalRate: 0% · 21 patients
0%21 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

JAMES YI D.O.
Family Medicine
400 N JEFFERSON ST
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
CHRISTINE M BLUE DO
Psychiatry & Neurology (Geriatric Psychiatry)
400 N JEFFERSON ST
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
THOMAS F STEELE DO
Family Medicine
400 N JEFFERSON ST
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
DEBORAH LYNN MATHIS D.O.
Family Medicine
400 N JEFFERSON ST, ROBERT C. BYRD CLINIC
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
GARY L KNEPP DO
Family Medicine (Geriatric Medicine)
400 N JEFFERSON ST
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
DR. KELLY FUCHS D.O.
Student in an Organized Health Care Education/Training Program
400 N JEFFERSON ST, ROBERT C. BYRD CLINIC
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
DR. MICAH ROBERT MOORE DO
Family Medicine
400 N JEFFERSON ST
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
DENNIS A. BURKE D.O.
Neuromusculoskeletal Medicine & OMM
400 N JEFFERSON ST
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220

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 Poole's NPI number?

The NPI number for Teresa Poole is 1063483477. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Teresa Poole located?

Teresa Poole practices at 400 N Jefferson St, Lewisburg, WV 24901. The listed phone number is (304) 645-3220.

What is Teresa Poole's specialty?

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

Is Teresa Poole enrolled in Medicare?

Yes. Teresa Poole 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 Poole accept?

Health plans from CareSource list Teresa Poole 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 Teresa Poole was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.