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TERESA MCDONALD FNP-BC
NPI 1356727374
Nurse Practitioner - Family in Caro, MI

Active since July 31, 2015PECOS EnrolledAccepts Medicare Assignment
220 E. FRANK ST, CARO, MI 48723(989) 673-4126(989) 672-5150 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2017, Dec 13, 2016 (2 updates tracked since 2016).

About Teresa Mcdonald Fnp-bc NPPES

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

TERESA MCDONALD FNP-BC (NPI 1356727374) is an individual family provider in Caro, Michigan, licensed in Michigan (4704237926) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1356727374
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA MCDONALDCredential: FNP-BC
Location Address220 E. FRANK STCaro, MI 48723-0435
Mailing Address220 E. Frank StCaro, MI 48723-0435 · (989) 673-4126 · Fax (989) 672-5150
Phone(989) 673-4126
Fax(989) 672-5150
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 31, 2015
Last NPPES UpdateApril 17, 20172 updates tracked since enumeration
✔ NPI 1356727374 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 MI · 4704237926
220 E. FRANK ST, Caro, MI 48723
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Mcdonald Fnp-bc 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.

PECOS PAC ID1052628252
PECOS Enrollment IDI20150921002713
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 Reassignments

2

Medicare enrollment records show Teresa Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Flushing Urgent Care Plc
36 mi
Urgent Care
6020 W PIERSON RD
Flushing, MI 48433
  • Reassigned Medicare billing, Michigan enrollment
  • 64 clinicians in this Medicare group
NPI 1780930016 (810) 720-1200
Pure Psychiatry Of Michigan PLLC
83 mi
Physician Assistant
34841 VETERANS PLAZA
Wayne, MI 48184
  • Reassigned Medicare billing, Michigan enrollment
  • 131 clinicians in this Medicare group
NPI 1831701671 (313) 292-7640

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 48723 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers19 claims45 services$4.89 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims19 services$19.07 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$7.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$106.92 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims3,296 services$0.04 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$26.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mcdonald's NPI number?

The NPI number for Teresa Mcdonald is 1356727374. It was assigned to this individual provider in the NPPES registry on July 31, 2015.

Where is Teresa Mcdonald located?

Teresa Mcdonald practices at 220 E. Frank St, Caro, MI 48723. The listed phone number is (989) 673-4126.

What is Teresa Mcdonald's specialty?

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

Is Teresa Mcdonald enrolled in Medicare?

Yes. Teresa Mcdonald 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 Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Mcdonald reassigns Medicare benefits to 2 organizations: Flushing Urgent Care Plc (Flushing, MI) and Pure Psychiatry Of Michigan PLLC (Wayne, MI). 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 Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Mcdonald accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Teresa Mcdonald 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 Mcdonald was last updated on April 17, 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.