TERESA WILLIE CNM
NPI 1417008541
Advanced Practice Midwife in Fort Defiance, AZ

Q: What is Teresa Willie's NPI number?

The NPI number for Teresa Willie is 1417008541. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Teresa Willie's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Willie was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment

CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8000 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Teresa Willie Cnm NPPES

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

TERESA WILLIE CNM (NPI 1417008541) is an individual advanced practice midwife in Fort Defiance, Arizona, licensed in North Carolina (CNM179) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Crownpoint Healthcare Facility, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1417008541

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameTERESA WILLIECredential: CNM

Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504-0649

Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649 · (928) 729-8000

Phone(928) 729-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJanuary 16, 2007

Last NPPES UpdateSeptember 22, 2011

✔ NPI 1417008541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in NC · CNM179

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504

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Other Identifiers 1

OtherCNM179NC · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresa Willie Cnm 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 ID8426041088

PECOS Enrollment IDI20040407001473

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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Crownpoint Healthcare Facility

Acute Care Hospitals · Crownpoint, NM

OwnershipGovernment - Federal

CMS Certification Number320062

LocationJunction Of Hwy 371Crownpoint, NM 87313 · Mckinley County

Emergency services

Cibola General Hospital

Critical Access Hospitals · Grants, NM

OwnershipVoluntary non-profit - Private

CMS Certification Number321308

Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ROMULO LAURETA PARUNGAO M.D.

Emergency Medicine