TERRI D CONGLETON ARNP
NPI 1124129465
Nurse Practitioner - Family in Owensboro, KY

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
2811 NEW HARTFORD ROAD, SUITE B, OWENSBORO, KY 42303(270) 215-0234(270) 215-0316 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2018, Jul 14, 2017 (2 updates tracked since 2017).

About Terri D Congleton Arnp NPPES

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

TERRI D CONGLETON ARNP (NPI 1124129465) is an individual family provider in Owensboro, Kentucky, licensed in Kentucky (4975P) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1124129465
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERRI D CONGLETONCredential: ARNP
Location Address2811 NEW HARTFORD ROAD, SUITE BOwensboro, KY 42303-1320
Mailing Address2811 New Hartford Rd Ste BOwensboro, KY 42303-1384 · (270) 215-0234 · Fax (270) 215-0316
Fax(270) 215-0316
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 26, 2006
Last NPPES UpdateSeptember 13, 20182 updates tracked since enumeration
NPI 1124129465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 4975P
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71002271A (IN)
2811 NEW HARTFORD ROAD, Owensboro, KY 42303

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

Terri D Congleton Arnp 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 ID7911006812
PECOS Enrollment IDI20070627000075
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 9

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.
235 services124 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.
128 services94 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.
102 services102 patients
Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve G0513
Prolonged preventive service refers to an extended medical consultation or treatment beyond the usual time. This service, provided in an outpatient setting, involves direct patient contact for the first 30 minutes beyond the primary procedure. It's used when additional time is required to address preventive health needs.
52 services52 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
39 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42303 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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
6 suppliers11 claims38 services$6.60 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 2

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

Nurse Practitioner
2811 NEW HARTFORD ROAD, SUITE B
OWENSBORO, KY 42303
Nurse Practitioner
2811 NEW HARTFORD ROAD, SUITE B
OWENSBORO, KY 42303

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 Terri Congleton's NPI number?

The NPI number for Terri Congleton is 1124129465. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Terri Congleton located?

Terri Congleton practices at 2811 New Hartford Road Suite B, Owensboro, KY 42303. The listed phone number is (270) 215-0234.

What is Terri Congleton's specialty?

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

Is Terri Congleton enrolled in Medicare?

Yes. Terri Congleton 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 Terri Congleton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Terri Congleton 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 Terri Congleton affiliated with any hospitals?

According to CMS data, Terri Congleton is affiliated with Owensboro Health Regional Hospital.

When was this NPI record last updated?

The NPPES record for Terri Congleton was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.