MRS. TERESA RENEE FASSETTA
NPI 1285436162
Student in an Organized Health Care Education/Training Program in Brooksville, FL
About Mrs. Teresa Renee Fassetta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TERESA RENEE FASSETTA (NPI 1285436162) is an individual student in an organized health care education/training program in Brooksville, Florida and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Teresa Renee Fassetta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKSVILLE, FL 34613
BROOKSVILLE, FL 34613
BROOKSVILLE, FL 34613
BROOKSVILLE, FL 34613
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 Fassetta's NPI number?
The NPI number for Teresa Fassetta is 1285436162. It was assigned to this individual provider in the NPPES registry on March 24, 2025. The provider is also known as Teresa Renee Gordon.
Where is Teresa Fassetta located?
Teresa Fassetta practices at 11375 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 606-9054.
What is Teresa Fassetta's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Teresa Fassetta enrolled in Medicare?
Yes. Teresa Fassetta is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Teresa Fassetta was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mrs. Teresa Renee Fassetta · NPI 1285436162
Student in an Organized Health Care Education/Training Program provider in Brooksville, Florida. Individual provider, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1285436162 (Entity type: Individual)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 11375 CORTEZ BLVD, Brooksville, FL 34613-5409
- **Phone:** (352) 606-9054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285436162) · Data from the CMS NPPES public registry.