MRS. THERESA CALDERON DNP APRN FNP-C
NPI 1083965347
Nurse Practitioner - Family in Greenwood, SC

Active since September 27, 2012PECOS EnrolledAccepts Medicare Assignment
115 OVERLAND DR, GREENWOOD, SC 29646(864) 227-6641(864) 227-3953 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, Jan 25, 2019 (2 updates tracked since 2019).

About Mrs. Theresa Calderon Dnp Aprn Fnp-c NPPES

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

MRS. THERESA CALDERON DNP APRN FNP-C (NPI 1083965347) is an individual family provider in Greenwood, South Carolina, licensed in South Carolina (25802) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083965347
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. THERESA CALDERONCredential: DNP APRN FNP-C
Location Address115 OVERLAND DRGreenwood, SC 29646-4053
Mailing Address1650 Cowles StFairbanks, AK 99701-5907 · (907) 458-6450 · Fax (907) 458-6430
Fax(864) 227-3953
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 27, 2012
Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2022
NPI 1083965347 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
Licenses Licensed in SC · 25802 Licensed in AK · 142059
115 OVERLAND DR, Greenwood, SC 29646

Other Names 1

Former Name (1)Theresa Warner Lpn; Rn

Secondary Practice Locations 2

Location 11650 Cowles StFairbanks, AK 99701 · Phone (907) 458-6450 · Fax (907) 458-6430
Location 23773 W Main Street Rd, Apartment 3Batavia, NY 14020-9410 · Phone (585) 356-3162

Accepted 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

Mrs. Theresa Calderon Dnp Aprn 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 ID1658612569
PECOS Enrollment IDI20190402002098, I20220407000833
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 12

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 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.
477 services241 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
190 services123 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
150 services95 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
89 services62 patients
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.
78 services62 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
78 services69 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 15

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

Internal Medicine
115 OVERLAND DR
GREENWOOD, SC 29646
Internal Medicine
115 OVERLAND DR
GREENWOOD, SC 29646
Nurse Practitioner (Family)
115 OVERLAND DR
GREENWOOD, SC 29646
Internal Medicine (Nephrology)
115 OVERLAND DR
GREENWOOD, SC 29646
Internal Medicine
115 OVERLAND DR
GREENWOOD, SC 29646
Family Medicine
115 OVERLAND DR
GREENWOOD, SC 29646
Specialist
115 OVERLAND DR
GREENWOOD, SC 29646
Internal Medicine
115 OVERLAND DR
GREENWOOD, SC 29646

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 Calderon's NPI number?

The NPI number for Theresa Calderon is 1083965347. It was assigned to this individual provider in the NPPES registry on September 27, 2012. The provider is also known as Theresa Warner Lpn; Rn.

Where is Theresa Calderon located?

Theresa Calderon practices at 115 Overland Dr, Greenwood, SC 29646. The listed phone number is (864) 227-6641.

What is Theresa Calderon's specialty?

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

Is Theresa Calderon enrolled in Medicare?

Yes. Theresa Calderon 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 Theresa Calderon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Theresa Calderon 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.

Is Theresa Calderon affiliated with any hospitals?

According to CMS data, Theresa Calderon is affiliated with Self Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Theresa Calderon was last updated on November 6, 2023. 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.