THERESA M. SETTER APRN-BC
NPI 1114135209
Nurse Practitioner - Family in Fayetteville, NY

Active since May 20, 2007PECOS Enrolled
516 E GENESEE ST, FAYETTEVILLE, NY 13066(315) 251-1234(315) 251-1144 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2024, Mar 3, 2016 (2 updates tracked since 2016).

About Theresa M. Setter Aprn-bc NPPES

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

THERESA M. SETTER APRN-BC (NPI 1114135209) is an individual family provider in Fayetteville, New York, licensed in New York (F335679) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114135209
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA M. SETTERCredential: APRN-BC
Location Address516 E GENESEE STFayetteville, NY 13066-1537
Mailing Address516 E Genesee StFayetteville, NY 13066-1537 · (315) 251-1234 · Fax (315) 251-1144
Fax(315) 251-1144
Sole ProprietorYes
Enumeration DateMay 20, 2007
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
NPI 1114135209 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 NY · F335679 Licensed in PA · SP009331 Licensed in NJ · 26NJ00126400
516 E GENESEE ST, Fayetteville, NY 13066

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Theresa M. Setter Aprn-bc 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.

Areas of Expertise CMS Part B claims 5

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
133 services29 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.
82 services78 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
38 services37 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
30 services27 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
28 services26 patients

Physician 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.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 2

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

Dentist (Periodontics)
516 E GENESEE ST
FAYETTEVILLE, NY 13066
Nurse Practitioner (Family)
516 E GENESEE ST
FAYETTEVILLE, NY 13066

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 Setter's NPI number?

The NPI number for Theresa Setter is 1114135209. It was assigned to this individual provider in the NPPES registry on May 20, 2007.

Where is Theresa Setter located?

Theresa Setter practices at 516 E Genesee St, Fayetteville, NY 13066. The listed phone number is (315) 251-1234.

What is Theresa Setter's specialty?

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

Is Theresa Setter enrolled in Medicare?

Yes. Theresa Setter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Setter was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.