TERESA CUNNINGHAM NP
NPI 1114401312
Nurse Practitioner in Springfield, MO

Active since September 24, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807(417) 875-3000 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 27, 2018, Sep 24, 2018 (2 updates tracked since 2018).

About Teresa Cunningham Np NPPES

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

TERESA CUNNINGHAM NP (NPI 1114401312) is an individual nurse practitioner in Springfield, Missouri, licensed in Missouri (2018034694) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114401312
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTERESA CUNNINGHAMCredential: NP
Location Address1001 E PRIMROSE STSpringfield, MO 65807-5155
Mailing AddressPo Box 9007Springfield, MO 65808-9007 · (417) 875-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 24, 2018
Last NPPES UpdateDecember 27, 20182 updates tracked since enumeration
NPI 1114401312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 2018034694
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1001 E PRIMROSE ST, Springfield, MO 65807

Other Identifiers 1

Medicaid420061710MO

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

Teresa Cunningham Np 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 ID6507118379
PECOS Enrollment IDI20181004002478
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 17

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
232 services159 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.
156 services116 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
88 services82 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
86 services81 patients
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.
66 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 patients

Hospital Affiliations CMS Care Compare 2

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, Po Box 650Branson, MO 65615 · Taney County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers42 claims88 services$6.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Gastroenterology)
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Dermatology
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Internal Medicine (Pulmonary Disease)
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Otolaryngology
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Orthopaedic Surgery
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Orthopaedic Surgery
1001 E PRIMROSE ST, 3RD FLOOR
SPRINGFIELD, MO 65807
Orthopaedic Surgery
1001 E PRIMROSE ST, 3RD FLOOR
SPRINGFIELD, MO 65807

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114401312, enumerated as an "individual" on September 24, 2018.

The provider is located at 1001 E PRIMROSE ST SPRINGFIELD, MO 65807 and the phone number is (417) 875-3000.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Cox HealthPlans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Teresa Cunningham is affiliated with: COX MEDICAL CENTERS and COX MEDICAL CENTER BRANSON.