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MRS. TERESA M SMITH NP
NPI 1225030117
Nurse Practitioner in O Fallon, MO

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
1101 HIGHWAY K STE A, O FALLON, MO 63366(314) 687-2730 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2024, Apr 19, 2024, Oct 22, 2020 and 1 more (4 updates tracked since 2018).

About Mrs. Teresa M Smith Np NPPES

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

MRS. TERESA M SMITH NP (NPI 1225030117) is an individual nurse practitioner in O Fallon, Missouri, licensed in Missouri (149531) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1225030117
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. TERESA M SMITHCredential: NP
Location Address1101 HIGHWAY K STE AO Fallon, MO 63366-8431
Mailing AddressPo Box 955534Saint Louis, MO 63195-7213
Phone(314) 687-2730
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 11, 2005
Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1225030117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 149531
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 16181-33 (WI), 619816 (OK), 614734 (OK), 149531 (MO)
1101 HIGHWAY K STE A, O Fallon, MO 63366
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Other Names 1

Former Name (1)Teresa M Smith Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Medica and more.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

Mrs. Teresa M Smith 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 ID2365498946
PECOS Enrollment IDI20050328000050, I20241024002094, I20250113003535
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 3

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 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.
199 services177 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63366 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 3

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

MS. SANDRA K SCHARF N.P.
Nurse Practitioner
1101 HIGHWAY K STE A
O FALLON, MO 63366
St. Charles County (844) 776-7200
RUTH TURNER NP
Nurse Practitioner (Family)
1101 HIGHWAY K STE A
O FALLON, MO 63366
St. Charles County (844) 776-7200
SSM MEDICAL GROUP, INC.
Clinic/Center
1101 HIGHWAY K STE A
O FALLON, MO 63366
St. Charles County (844) 766-7200

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 Teresa Smith's NPI number?

The NPI number for Teresa Smith is 1225030117. It was assigned to this individual provider in the NPPES registry on August 11, 2005. The provider is also known as Teresa M Smith Np.

Where is Teresa Smith located?

Teresa Smith practices at 1101 Highway K Ste A, O Fallon, MO 63366. The listed phone number is (314) 687-2730.

What is Teresa Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Teresa Smith enrolled in Medicare?

Yes. Teresa Smith 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 Teresa Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and Oscar Insurance Company list Teresa Smith 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.

When was this NPI record last updated?

The NPPES record for Teresa Smith was last updated on December 12, 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.