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THERESA ANN GROOMES NP
NPI 1134666191
Nurse Practitioner - Family in Bristol, TN

Active since January 27, 2017PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL PARK BLVD STE 350W, BRISTOL, TN 37620(423) 282-1480(423) 928-1353 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Oct 23, 2017, Jan 27, 2017 (3 updates tracked since 2017).

About Theresa Ann Groomes Np NPPES

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

THERESA ANN GROOMES NP (NPI 1134666191) is an individual family provider in Bristol, Tennessee, licensed in Virginia (0024188331) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kingsport, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1134666191
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA ANN GROOMESCredential: NP
Location Address1 MEDICAL PARK BLVD STE 350WBristol, TN 37620-7471
Mailing AddressPo Box 4018Johnson City, TN 37602-4018 · (423) 282-1480
Phone(423) 282-1480
Fax(423) 928-1353
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 27, 2017
Last NPPES UpdateAugust 27, 20253 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1134666191 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 VA · 0024188331✔ Licensed in TN · 22121
1 MEDICAL PARK BLVD STE 350W, Bristol, TN 37620
Open in Google Maps ↗

Secondary Practice Location 1

Location 12035 E Stonebrook PlKingsport, TN 37660-4000 · Phone (423) 282-1480 · Fax (423) 928-1353

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

Theresa Ann Groomes 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 ID5092090985
PECOS Enrollment IDI20170315001466
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.

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.
802 services74 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
394 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.
252 services29 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
101 services24 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
59 services31 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
32 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%101 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$21.72 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.

HOLLY AMBER BERNDT M.D.
Internal Medicine
1 MEDICAL PARK BLVD STE 350W
BRISTOL, TN 37620
Sullivan County (423) 282-1480
DR. ASHLEY LAUREN AUSTIN D.O.
Family Medicine
1 MEDICAL PARK BLVD STE 350W
BRISTOL, TN 37620
Sullivan County (423) 282-1480

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 Groomes's NPI number?

The NPI number for Theresa Groomes is 1134666191. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Where is Theresa Groomes located?

Theresa Groomes practices at 1 Medical Park Blvd Ste 350W, Bristol, TN 37620. The listed phone number is (423) 282-1480.

What is Theresa Groomes's specialty?

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

Is Theresa Groomes enrolled in Medicare?

Yes. Theresa Groomes 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.

When was this NPI record last updated?

The NPPES record for Theresa Groomes was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.