MRS. THERESA M MCGUIRE NP-C
NPI 1356647390
Nurse Practitioner - Family in Fayetteville, TN
About Mrs. Theresa M Mcguire Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. THERESA M MCGUIRE NP-C (NPI 1356647390) is an individual family provider in Fayetteville, Tennessee, licensed in Tennessee (15571) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Southern Tennessee Regional Hlth System Winchester, and is a graduate of Other (2010).
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
Mrs. Theresa M Mcguire Np-c 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
8Medicare enrollment records show Theresa Mcguire reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, TN 37334
- Reassigned Medicare billing, Tennessee enrollment
- 5 clinicians in this Medicare group
Lawrenceburg, TN 38464
- Reassigned Medicare billing, Tennessee enrollment
- 86 clinicians in this Medicare group
Murfreesboro, TN 37129
- Reassigned Medicare billing, Tennessee enrollment
- 310 clinicians in this Medicare group
Athens, TN 37371
- Reassigned Medicare billing, Tennessee enrollment
- 105 clinicians in this Medicare group
Maryville, TN 37804
- Reassigned Medicare billing, Tennessee enrollment
- 390 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Tennessee enrollment
- 664 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Tennessee enrollment
- 1,071 clinicians in this Medicare group
Lawrenceburg, IN 47025
- Reassigned Medicare billing, Tennessee enrollment
- 394 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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southern Tennessee Regional Hlth System Winchester
Acute Care Hospitals · Winchester, TNLincoln Medical Center
Acute Care Hospitals · Fayetteville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37334 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mcguire's NPI number?
The NPI number for Theresa Mcguire is 1356647390. It was assigned to this individual provider in the NPPES registry on February 9, 2011.
Where is Theresa Mcguire located?
Theresa Mcguire practices at 62 Alease Dr, Fayetteville, TN 37334. The listed phone number is (931) 625-5291.
What is Theresa Mcguire's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theresa Mcguire enrolled in Medicare?
Yes. Theresa Mcguire 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 Theresa Mcguire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Mcguire reassigns Medicare benefits to 8 organizations: Theresa T Morrison MD PLLC (Fayetteville, TN), Emergency Coverage Services, PC (Lawrenceburg, TN), Crossroads Urgent Care PLLC (Murfreesboro, TN), Southeastern Emergency Services P C (Athens, TN), App Of Tennessee Ed, PLLC (Maryville, TN) and 3 more organizations, listed in the Medicare section above. 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 Theresa Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Mcguire accept?
Health plans from BlueCross BlueShield of Tennessee list Theresa Mcguire 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.
Is Theresa Mcguire affiliated with any hospitals?
According to CMS data, Theresa Mcguire is affiliated with Southern Tennessee Regional Hlth System Winchester and Lincoln Medical Center.
When was this NPI record last updated?
The NPPES record for Theresa Mcguire was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Theresa M Mcguire, NP-C · NPI 1356647390
Family physician in Fayetteville, Tennessee. Individual provider, active in the CMS NPPES registry since February 9, 2011.
## Identity
- **NPI:** 1356647390 (Entity type: Individual)
- **Enumerated:** February 9, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 15571 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 62 ALEASE DR, Fayetteville, TN 37334-7407
- **Phone:** (931) 625-5291
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Theresa T Morrison MD PLLC (NPI 1043363492, Fayetteville, TN); Emergency Coverage Services, PC (NPI 1053351593, Lawrenceburg, TN); Crossroads Urgent Care PLLC (NPI 1366644361, Murfreesboro, TN); Southeastern Emergency Services P C (NPI 1669414264, Athens, TN); App Of Tennessee Ed, PLLC (NPI 1003230236, Maryville, TN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** May 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1356647390) · Data from the CMS NPPES public registry.