TERESA KIRESUK NP
NPI 1093750499
Nurse Practitioner - Gerontology in Saint Paul, MN

Q: What is Teresa Kiresuk's NPI number?

The NPI number for Teresa Kiresuk is 1093750499. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Q: What is Teresa Kiresuk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Kiresuk was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 19, 2006PECOS Enrolled

1021 BANDANA BLVD E, SUITE 200, SAINT PAUL, MN 55108(651) 637-2960(651) 637-2961 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Teresa Kiresuk Np NPPES

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

TERESA KIRESUK NP (NPI 1093750499) is an individual gerontology provider in Saint Paul, Minnesota, licensed in Minnesota (R1133714) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093750499

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameTERESA KIRESUKCredential: NP

Location Address1021 BANDANA BLVD E, SUITE 200Saint Paul, MN 55108-5113

Mailing Address1021 Bandana Blvd E, Suite 200Saint Paul, MN 55108-5113 · (651) 642-2700 · Fax (651) 642-9441

Phone(651) 637-2960

Fax(651) 637-2961

Sole ProprietorNo

Enumeration DateJune 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093750499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MN · R1133714

1021 BANDANA BLVD E, Saint Paul, MN 55108

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Other Identifiers 1

Medicare UPINR94985

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Kiresuk Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 55108 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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