TERESA ROSE FNP-C
NPI 1073166096
Nurse Practitioner - Family in Woodbridge, VA

Q: What is Teresa Rose's NPI number?

The NPI number for Teresa Rose is 1073166096. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Q: What is Teresa Rose'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 Teresa Rose was last updated on July 18, 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 July 18, 2019PECOS EnrolledAccepts Medicare Assignment

4379 RIDGEWOOD CENTER DR STE 102, WOODBRIDGE, VA 22192(703) 680-7950 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Teresa Rose Fnp-c NPPES

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

TERESA ROSE FNP-C (NPI 1073166096) is an individual family provider in Woodbridge, Virginia, licensed in Virginia (0024177194) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073166096

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTERESA ROSECredential: FNP-C

Location Address4379 RIDGEWOOD CENTER DR STE 102Woodbridge, VA 22192-8323

Mailing Address4379 Ridgewood Center Dr Ste 102Woodbridge, VA 22192-8323 · (703) 680-7950

Phone(703) 680-7950

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 18, 2019

✔ NPI 1073166096 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 VA · 0024177194

4379 RIDGEWOOD CENTER DR STE 102, Woodbridge, VA 22192

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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 Rose Fnp-c 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 ID8628400868

PECOS Enrollment IDI20191108002818

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 22192 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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