TERESA CONERLY NPC
NPI 1285065292
Nurse Practitioner - Family in Monticello, MS
About Teresa Conerly Npc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERESA CONERLY NPC (NPI 1285065292) is an individual family provider in Monticello, Mississippi, licensed in Mississippi (R855066) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
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
Teresa Conerly Npc 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 Reassignments
2Medicare enrollment records show Teresa Conerly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Monticello, MS 39654
- Reassigned Medicare billing, Mississippi enrollment
- 70 clinicians in this Medicare group
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 54 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MONTICELLO, MS 39654
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 Conerly's NPI number?
The NPI number for Teresa Conerly is 1285065292. It was assigned to this individual provider in the NPPES registry on December 2, 2013.
Where is Teresa Conerly located?
Teresa Conerly practices at 430 W Broad St, Monticello, MS 39654. The listed phone number is (601) 825-7280.
What is Teresa Conerly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Teresa Conerly enrolled in Medicare?
Yes. Teresa Conerly 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 organizations bill Medicare for Teresa Conerly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Conerly reassigns Medicare benefits to 2 organizations: Family Health Care Clinic, Inc. (Monticello, MS) and Ms State Department Of Health (Jackson, MS). Each 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 Teresa Conerly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Teresa Conerly accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Teresa Conerly 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 Conerly was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Teresa Conerly, NPC · NPI 1285065292
Family physician in Monticello, Mississippi. Individual provider, active in the CMS NPPES registry since December 2, 2013.
## Identity
- **NPI:** 1285065292 (Entity type: Individual)
- **Enumerated:** December 2, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R855066 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 430 W BROAD ST, Monticello, MS 39654-7723
- **Phone:** (601) 825-7280 · **Fax:** (601) 825-8130
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Family Health Care Clinic, Inc. (NPI 1093731234, Monticello, MS); Ms State Department Of Health (NPI 1053489260, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1285065292) · Data from the CMS NPPES public registry.