TERESA MCILVOY APRN
NPI 1235580754
Nurse Practitioner - Psychiatric/Mental Health in Danville, KY

Q: What is Teresa Mcilvoy's NPI number?

The NPI number for Teresa Mcilvoy is 1235580754. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Q: What is Teresa Mcilvoy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Mcilvoy was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 27, 2016PECOS EnrolledAccepts Medicare Assignment

79.11/100

CMS Quality Rating

120 DANIEL DR, DANVILLE, KY 40422(859) 239-5570 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 28, 2023, Sep 21, 2022, Aug 7, 2019 and 2 more (5 updates tracked since 2016).

On this page

About Teresa Mcilvoy Aprn NPPES

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

TERESA MCILVOY APRN (NPI 1235580754) is an individual psychiatric/mental health provider in Danville, Kentucky, licensed in Kentucky (3010408) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1235580754

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTERESA MCILVOYCredential: APRN

Location Address120 DANIEL DRDanville, KY 40422-2527

Mailing AddressPo Box 990Danville, KY 40423-0990 · (859) 239-2360 · Fax (859) 239-5579

Phone(859) 239-5570

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 27, 2016

Last NPPES UpdateFebruary 28, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2023

✔ NPI 1235580754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 3010408

120 DANIEL DR, Danville, KY 40422

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresa Mcilvoy Aprn 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 ID143599977

PECOS Enrollment IDI20170710002386

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 Reassignments

Medicare enrollment records show Teresa Mcilvoy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ephraim Mcdowell Health Resource, Inc

0.1 mi

Endocrinology, Diabetes & Metabolism

120 DANIEL DR
Danville, KY 40422

Reassigned Medicare billing, Kentucky enrollment
247 clinicians in this Medicare group

NPI 1174484463 (859) 239-4570

Baptist Health Medical Group Inc

26 mi

Nurse Practitioner

100 PROVIDENCE WAY STE 200
Nicholasville, KY 40356

Reassigned Medicare billing, Kentucky enrollment
999 clinicians in this Medicare group

NPI 1255805586 (859) 260-5370

One Cross Health Clinic Inc

38 mi

Rural Health

106 WINSTON WAY
Campbellsville, KY 42718

Reassigned Medicare billing, Kentucky enrollment
11 clinicians in this Medicare group

NPI 1942606454 (270) 789-0034

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

Areas of Expertise CMS Part B claims 2

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.

87 services36 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.

23 services15 patients

Hospital Affiliations CMS Care Compare

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180048

Location217 South Third StreetDanville, KY 40422 · Boyle County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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.

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.

79.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.52

Promoting Interoperability

100

Improvement Activities

Cost

44.23

Other Providers at the Same Location NPPES 7

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

STUART LARSON MD

Psychiatry & Neurology (Psychiatry)