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THERESA KATHLEEN PASCHAL FNP
NPI 1417487836
Nurse Practitioner - Family in Glendale, AZ

Active since June 18, 2017PECOS Enrolled
89.09/100
CMS Quality Rating
16222 N 59TH AVE STE A100, GLENDALE, AZ 85306(623) 777-5587 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2017, Jun 18, 2017 (2 updates tracked since 2017).

About Theresa Kathleen Paschal Fnp NPPES

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

THERESA KATHLEEN PASCHAL FNP (NPI 1417487836) is an individual family provider in Glendale, Arizona, licensed in Arizona (10330) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417487836
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA KATHLEEN PASCHALCredential: FNP
Location Address16222 N 59TH AVE STE A100Glendale, AZ 85306-1705
Mailing Address16222 N 59th Ave Ste A100Glendale, AZ 85306-1705
Phone(623) 777-5587
Sole ProprietorNo
Enumeration DateJune 18, 2017
Last NPPES UpdateAugust 10, 20172 updates tracked since enumeration
✔ NPI 1417487836 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 · 10330
Also ListedRegistered NurseTaxonomy 163W00000X · License RN083779 (AZ)
16222 N 59TH AVE STE A100, Glendale, AZ 85306
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Kathleen Paschal Fnp 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

2

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

Banner Urgent Care Services, LLC
15 mi
Urgent Care
10330 N SCOTTSDALE RD # 25
Scottsdale, AZ 85253
  • Reassigned Medicare billing, Arizona enrollment
  • 184 clinicians in this Medicare group
NPI 1609229764 (480) 825-7496
Banner Urgent Care Arizona LLC
58 mi
Urgent Care
1676 E MCMURRAY BLVD STE 1
Casa Grande, AZ 85122
  • Reassigned Medicare billing, Arizona enrollment
  • 171 clinicians in this Medicare group
NPI 1316349855 (520) 316-0688

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
32 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 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.

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.

89.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost63.63

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 Paschal's NPI number?

The NPI number for Theresa Paschal is 1417487836. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Theresa Paschal located?

Theresa Paschal practices at 16222 N 59th Ave Ste A100, Glendale, AZ 85306. The listed phone number is (623) 777-5587.

What is Theresa Paschal's specialty?

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

Is Theresa Paschal enrolled in Medicare?

Yes. Theresa Paschal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Theresa Paschal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Paschal reassigns Medicare benefits to 2 organizations: Banner Urgent Care Services, LLC (Scottsdale, AZ) and Banner Urgent Care Arizona LLC (Casa Grande, AZ). 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 Theresa Paschal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Paschal accept?

Health plans from Oscar Health Plan, Inc. list Theresa Paschal 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 Theresa Paschal was last updated on August 10, 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.