ELIZABETH JOHANNA TESHIMA FNP-C
NPI 1417328022
Nurse Practitioner in Charlotte, NC

Q: What is Elizabeth Teshima's NPI number?

The NPI number for Elizabeth Teshima is 1417328022. It was assigned to this individual provider in the NPPES registry on October 8, 2015. The provider is also known as Elizabeth Teshima Rosa.

Q: What is Elizabeth Teshima's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Teshima was last updated on October 28, 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.

Active since October 08, 2015PECOS Enrolled

335 N CASWELL RD, CHARLOTTE, NC 28204(704) 384-7980(704) 384-7985 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 28, 2020, Apr 14, 2020, Jun 10, 2019 and 2 more (5 updates tracked since 2019).

On this page

About Elizabeth Johanna Teshima Fnp-c NPPES

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

ELIZABETH JOHANNA TESHIMA FNP-C (NPI 1417328022) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5008074) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417328022

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELIZABETH JOHANNA TESHIMACredential: FNP-C

Location Address335 N CASWELL RDCharlotte, NC 28204

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 583-2601 · Fax (704) 583-2603

Phone(704) 384-7980

Fax(704) 384-7985

Sole ProprietorNo

Enumeration DateOctober 8, 2015

Last NPPES UpdateOctober 28, 20205 updates tracked since enumeration

NPPES CertifiedOctober 28, 2020

✔ NPI 1417328022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5008074

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

335 N CASWELL RD, Charlotte, NC 28204

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Other Names 1

Former Name (1)Elizabeth Teshima Rosa

Secondary Practice Locations 2

Location 1335 N Caswell RdCharlotte, NC 28204 · Phone (704) 384-7980 · Fax (704) 384-7985

Location 212830 Walker Branch RdCharlotte, NC 28273-8850 · Phone (704) 583-2601

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Johanna Teshima Fnp-c 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 Reassignments

Medicare enrollment records show Elizabeth Teshima reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rapha Healthcare Services,llc

123 mi

Multi-Specialty

4411 BEN FRANKLIN BLVD
Durham, NC 27704

Reassigned Medicare billing, North Carolina enrollment
4 clinicians in this Medicare group

NPI 1316335128 (919) 471-5474

Brookview Medical Associates, PLLC

569 mi

General Practice

80 ORVILLE DR STE 100
Bohemia, NY 11716

Reassigned Medicare billing, New York enrollment
754 clinicians in this Medicare group

NPI 1871965855 (972) 715-3800

Signify Health, LLC

931 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Hawaii enrollment
59 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

Signify Health Medical Associates, PLLC

931 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, North Carolina enrollment
728 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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 28204 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

65%37 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

53%51 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

35%52 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

50%28 patients3/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MS. LAURA CAMPBELL FNP-BC

Nurse Practitioner