THERESA ABBADUSKY
NPI 1265892046
Nurse Practitioner - Family in Pekin, IL
About Theresa Abbadusky NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA ABBADUSKY (NPI 1265892046) is an individual family provider in Pekin, Illinois, licensed in Illinois (209013728) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Theresa Abbadusky 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.
Medicare Billing Reassignment
Medicare enrollment records show Theresa Abbadusky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Murfreesboro, TN 37129
- Reassigned Medicare billing, Tennessee enrollment
- 310 clinicians in this Medicare group
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 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Abbadusky's NPI number?
The NPI number for Theresa Abbadusky is 1265892046. It was assigned to this individual provider in the NPPES registry on March 7, 2016.
Where is Theresa Abbadusky located?
Theresa Abbadusky practices at 1800 Broadway St, Pekin, IL 61554. The listed phone number is (309) 346-3416.
What is Theresa Abbadusky's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theresa Abbadusky enrolled in Medicare?
Yes. Theresa Abbadusky 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.
Which organization bills Medicare for Theresa Abbadusky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Abbadusky reassigns Medicare benefits to Crossroads Urgent Care PLLC (Murfreesboro, TN). 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 Theresa Abbadusky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Abbadusky accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Theresa Abbadusky 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 Theresa Abbadusky was last updated on October 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Theresa Abbadusky · NPI 1265892046
Family physician in Pekin, Illinois. Individual provider, active in the CMS NPPES registry since March 7, 2016.
## Identity
- **NPI:** 1265892046 (Entity type: Individual)
- **Enumerated:** March 7, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209013728 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1800 BROADWAY ST, Pekin, IL 61554-3822
- **Phone:** (309) 346-3416
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Crossroads Urgent Care PLLC (NPI 1366644361, Murfreesboro, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 11, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1265892046) · Data from the CMS NPPES public registry.