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THERESA PAMPLONA AVERION APRN
NPI 1356344097
Nurse Practitioner - Family in Newburgh, NY

Active since May 26, 2005PECOS Enrolled
4 HIBBING WAY, NEWBURGH, NY 12550(203) 561-9467 Get Directions Write a Review

NPPES record last updated: May 12, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Theresa Pamplona Averion Aprn NPPES

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

THERESA PAMPLONA AVERION APRN (NPI 1356344097) is an individual family provider in Newburgh, New York, licensed in Connecticut (003090) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356344097
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA PAMPLONA AVERIONCredential: APRN
Location Address4 HIBBING WAYNewburgh, NY 12550-7044
Mailing Address4 Hibbing WayNewburgh, NY 12550-7044 · (203) 561-9467
Phone(203) 561-9467
Sole ProprietorNo
Enumeration DateMay 26, 2005
Last NPPES UpdateMay 12, 2009
✔ NPI 1356344097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 003090
4 HIBBING WAY, Newburgh, NY 12550
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Other Names 1

Former Name (1)Theresa I Pamplona

Other Identifiers 2

Medicare ID-Type Unspecified500001416CT
Medicare UPINQ037349CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Pamplona Averion Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Theresa Averion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Weill Medical College Of Cornell
53 mi
Psychologist
525 EAST 68TH SREET, BOX 171 RM F-1228 DEPT. OF PYSCHIATRY
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 172 clinicians in this Medicare group
NPI 1871692210 (212) 746-0235

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 12550 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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 Averion's NPI number?

The NPI number for Theresa Averion is 1356344097. It was assigned to this individual provider in the NPPES registry on May 26, 2005. The provider is also known as Theresa I Pamplona.

Where is Theresa Averion located?

Theresa Averion practices at 4 Hibbing Way, Newburgh, NY 12550. The listed phone number is (203) 561-9467.

What is Theresa Averion's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Averion enrolled in Medicare?

Yes. Theresa Averion is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Averion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Averion reassigns Medicare benefits to Weill Medical College Of Cornell (New York, NY). 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 Averion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theresa Averion was last updated on May 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.