TESHERA TULL PMHNP-BC
NPI 1417448523
Nurse Practitioner - Psychiatric/Mental Health in Canton, MA

Q: What is Teshera Tull's NPI number?

The NPI number for Teshera Tull is 1417448523. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Q: What is Teshera Tull's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Teshera Tull was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 May 24, 2018PECOS Enrolled

3 RANDOLPH ST, CANTON, MA 02021(857) 247-3180 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2026, Dec 12, 2020, Aug 29, 2019 and 1 more (4 updates tracked since 2018).

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About Teshera Tull Pmhnp-bc NPPES

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

TESHERA TULL PMHNP-BC (NPI 1417448523) is an individual psychiatric/mental health provider in Canton, Massachusetts, licensed in Massachusetts (RN2306276) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Taunton.

NPPES Registry Identity

NPI1417448523

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTESHERA TULLCredential: PMHNP-BC

Location Address3 RANDOLPH STCanton, MA 02021-0317

Mailing Address1 Jessicas WayAttleboro, MA 02703-6848 · (857) 247-3180

Phone(857) 247-3180

Sole ProprietorYes

Enumeration DateMay 24, 2018

Last NPPES UpdateJune 6, 20264 updates tracked since enumeration

NPPES CertifiedJune 6, 2026

✔ NPI 1417448523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MA · RN2306276

Also ListedRegistered NurseTaxonomy 163W00000X · License RN2306276 (MA)

3 RANDOLPH ST, Canton, MA 02021

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Secondary Practice Location 1

Location 160 Hodges AveTaunton, MA 02780-3034 · Phone (508) 977-3737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teshera Tull Pmhnp-bc 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 Reassignment

Medicare enrollment records show Teshera Tull reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Holyoke Capital Jv, LLC

79 mi

Psychiatric Hospital

1233 MAIN ST
Holyoke, MA 01040

Reassigned Medicare billing, Massachusetts enrollment
77 clinicians in this Medicare group

NPI 1649856618 (413) 701-2600

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 02021 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 11

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

MRS. CAROLANNE MARIE OLLER A.B.T.

Specialist

3 RANDOLPH ST
CANTON, MA 02021

Norfolk County (781) 830-8424

DR. DAVID H LEVOY M.D.

Psychiatry & Neurology (Psychiatry)

3 RANDOLPH ST, MASS HOSPITAL SCHOOL
CANTON, MA 02021

Norfolk County (617) 244-0111

ISABEL M BALMASEDA LIC. AC., A.B.T.

Acupuncturist

3 RANDOLPH ST
CANTON, MA 02021

Norfolk County (781) 830-8424

TRUSTEES OF TUFTS UNIVERSITY

Clinic/Center (Dental)

3 RANDOLPH ST, BRADFORD BUILDING, 2ND FLOOR
CANTON, MA 02021

Norfolk County (617) 636-3849

DR. ANTON BLAINE DODEK M.D.

Pediatrics

3 RANDOLPH ST
CANTON, MA 02021

Norfolk County (781) 828-2440

JULIE SLOTNICK PNP

Nurse Practitioner (Pediatrics)

3 RANDOLPH ST
CANTON, MA 02021

Norfolk County (781) 830-8411

AMY SULLIVAN

Occupational Therapist

3 RANDOLPH ST
CANTON, MA 02021

Norfolk County (781) 830-8449

MR. GEOFFREY SCOTT REINHOLD MS OTR/L

Occupational Therapist

3 RANDOLPH ST
CANTON, MA 02021

Norfolk County (781) 830-8563

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 Teshera Tull's NPI number?

The NPI number for Teshera Tull is 1417448523. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Teshera Tull located?

Teshera Tull practices at 3 Randolph St, Canton, MA 02021. The listed phone number is (857) 247-3180.

What is Teshera Tull's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Teshera Tull enrolled in Medicare?

Yes. Teshera Tull is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teshera Tull's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teshera Tull reassigns Medicare benefits to Holyoke Capital Jv, LLC (Holyoke, MA). The 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 Teshera Tull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Teshera Tull was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.