THERESA DOWELL P.T.
NPI 1417082553
Nurse Practitioner - Family in Flagstaff, AZ

Active since February 22, 2007Opted out of Medicare · through Oct 1, 2027
1501 S YALE ST, STE# 252, FLAGSTAFF, AZ 86001(928) 774-1811(928) 774-2006 Get Directions Write a Review

NPPES record last updated: October 27, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Theresa Dowell P.t. NPPES

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

THERESA DOWELL P.T. (NPI 1417082553) is an individual family provider in Flagstaff, Arizona, licensed in Arizona (4741) and active in the NPI registry since February 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417082553
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA DOWELLCredential: P.T.
Location Address1501 S YALE ST, STE# 252Flagstaff, AZ 86001-7304
Mailing Address1515 E Cedar Ave, Ste C-1Flagstaff, AZ 86004-1637 · (928) 774-1811 · Fax (928) 774-2006
Fax(928) 774-2006
Sole ProprietorYes
Enumeration DateFebruary 22, 2007
Last NPPES UpdateOctober 27, 2019
NPI 1417082553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · 4741
Also ListedPhysical TherapistTaxonomy 225100000X · License 3278 (AZ)
1501 S YALE ST, Flagstaff, AZ 86001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Theresa Dowell P.t. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1501 S YALE ST, BLDG 2 SUITE 150
FLAGSTAFF, AZ 86001
Massage Therapist
1501 S YALE ST
FLAGSTAFF, AZ 86001
Physician Assistant (Medical)
1501 S YALE ST, BUILDING 2 SUITE 150
FLAGSTAFF, AZ 86001
General Practice
1501 S YALE ST, STE 250
FLAGSTAFF, AZ 86001
Pediatrics
1501 S YALE ST, STE #252
FLAGSTAFF, AZ 86001
Chiropractor
1501 S YALE ST, SUITE 250
FLAGSTAFF, AZ 86001
Chiropractor (Neurology)
1501 S YALE ST, SUITE 250
FLAGSTAFF, AZ 86001
Nurse Practitioner (Pediatrics)
1501 S YALE ST, 252
FLAGSTAFF, AZ 86001

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 Dowell's NPI number?

The NPI number for Theresa Dowell is 1417082553. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Theresa Dowell located?

Theresa Dowell practices at 1501 S Yale St Ste# 252, Flagstaff, AZ 86001. The listed phone number is (928) 774-1811.

What is Theresa Dowell's specialty?

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

Is Theresa Dowell enrolled in Medicare?

No. Theresa Dowell has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Theresa Dowell was last updated on October 27, 2019. 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.