NICOLE M TESKE PSYD
NPI 1184398778
Psychologist - Clinical in Reston, VA

Q: What is Nicole Teske's NPI number?

The NPI number for Nicole Teske is 1184398778. It was assigned to this individual provider in the NPPES registry on August 6, 2021.

Q: What is Nicole Teske's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Teske was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 06, 2021PECOS Enrolled

1875 CAMPUS COMMONS DR STE 225, RESTON, VA 20191(703) 879-2482 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2024, Aug 6, 2021 (2 updates tracked since 2021).

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About Nicole M Teske Psyd NPPES

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

NICOLE M TESKE PSYD (NPI 1184398778) is an individual clinical provider in Reston, Virginia, licensed in Minnesota (LP7013) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184398778

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameNICOLE M TESKECredential: PSYD

Location Address1875 CAMPUS COMMONS DR STE 225Reston, VA 20191-1533

Mailing Address11654 Plaza America Dr # 875Reston, VA 20190-4700 · (703) 879-2483

Phone(703) 879-2482

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 6, 2021

Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1184398778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MN · LP7013✔ Licensed in VA · 0810008344✔ Licensed in MD · 07225

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X

1875 CAMPUS COMMONS DR STE 225, Reston, VA 20191

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole M Teske Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981190329

PECOS Enrollment IDI20260106000971

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Teske reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guiding Star Psychological Services LLC

928 mi

Clinical

3390 ANNAPOLIS LN N STE C
Plymouth, MN 55447

Reassigned Medicare billing, Minnesota enrollment
2 clinicians in this Medicare group

NPI 1841182284 (763) 284-6369

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20191 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

$194.86 typical visit price

range $65.18 – $194.86

Typical copayment $48.71 (range $16.29 – $48.71)

Most-billed visit code 99205

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

GRACE CHANG MS, RDN

Dietitian, Registered

1875 CAMPUS COMMONS DR STE 225
RESTON, VA 20191

Fairfax County (703) 431-6892

SUSAN KOUZEL, RD LLC

Dietitian, Registered

1875 CAMPUS COMMONS DR STE 225
RESTON, VA 20191

Fairfax County (703) 431-6892

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 Nicole Teske's NPI number?

The NPI number for Nicole Teske is 1184398778. It was assigned to this individual provider in the NPPES registry on August 6, 2021.

Where is Nicole Teske located?

Nicole Teske practices at 1875 Campus Commons Dr Ste 225, Reston, VA 20191. The listed phone number is (703) 879-2482.

What is Nicole Teske's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicole Teske enrolled in Medicare?

Yes. Nicole Teske is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Teske's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Teske reassigns Medicare benefits to Guiding Star Psychological Services LLC (Plymouth, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Teske's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Teske was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.