THERESA BAXTER FNP
NPI 1083040083
Nurse Practitioner - Family in Fayetteville, NY
About Theresa Baxter Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA BAXTER FNP (NPI 1083040083) is an individual family provider in Fayetteville, New York, licensed in New York (337994) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theresa Baxter Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theresa Baxter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 271 clinicians in this Medicare group
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Baxter's NPI number?
The NPI number for Theresa Baxter is 1083040083. It was assigned to this individual provider in the NPPES registry on September 23, 2013.
Where is Theresa Baxter located?
Theresa Baxter practices at 221 Hunt Dr, Fayetteville, NY 13066. The listed phone number is (315) 637-8148.
What is Theresa Baxter's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theresa Baxter enrolled in Medicare?
Yes. Theresa Baxter 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.
Which organizations bill Medicare for Theresa Baxter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Baxter reassigns Medicare benefits to 2 organizations: Suny Health Science Center At Syracuse (Syracuse, NY) and Helio Health, Inc. (Syracuse, NY). Each 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 Baxter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Theresa Baxter affiliated with any hospitals?
According to CMS data, Theresa Baxter is affiliated with University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Theresa Baxter was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Theresa Baxter, FNP · NPI 1083040083
Family physician in Fayetteville, New York. Individual provider, active in the CMS NPPES registry since September 23, 2013.
## Identity
- **NPI:** 1083040083 (Entity type: Individual)
- **Enumerated:** September 23, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 337994 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 221 HUNT DR, Fayetteville, NY 13066-1225
- **Phone:** (315) 637-8148
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Suny Health Science Center At Syracuse (NPI 1184974529, Syracuse, NY); Helio Health, Inc. (NPI 1609892280, Syracuse, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 23, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1083040083) · Data from the CMS NPPES public registry.