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TERESA A VILLANO NP
NPI 1427394766
Nurse Practitioner in Saginaw, MI

Active since December 13, 2012PECOS EnrolledAccepts Medicare Assignment
4677 TOWNE CENTRE RD, SUITE 102, SAGINAW, MI 48604(989) 790-0517(989) 790-0261 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Teresa A Villano Np NPPES

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

TERESA A VILLANO NP (NPI 1427394766) is an individual nurse practitioner in Saginaw, Michigan, licensed in Michigan (4704149938) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Ascension St Mary's Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427394766
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTERESA A VILLANOCredential: NP
Location Address4677 TOWNE CENTRE RD, SUITE 102Saginaw, MI 48604-2846
Mailing Address4677 Towne Centre Rd, Suite 102Saginaw, MI 48604-2846 · (989) 790-0517 · Fax (989) 790-0261
Phone(989) 790-0517
Fax(989) 790-0261
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 13, 2012
Last NPPES UpdateJuly 31, 2015
✔ NPI 1427394766 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 MI · 4704149938
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.
4677 TOWNE CENTRE RD, Saginaw, MI 48604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 A Villano Np 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 ID5698929388
PECOS Enrollment IDI20130205000273
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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
391 services165 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
271 services129 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
197 services187 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
137 services134 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
67 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services39 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230077
Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48604 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%87 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
1%73 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%46 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%63 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%63 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%63 patients1/55-star benchmark: 59%
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 14

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

DR. EMILY RUTH MCLAREN M.D.
Emergency Medicine
4677 TOWNE CENTRE RD, SUITE 302
SAGINAW, MI 48604
Saginaw County (989) 793-7220
MYMICHIGAN MEDICAL CENTER SAGINAW
Emergency Medicine
4677 TOWNE CENTRE RD, SUITE 302
SAGINAW, MI 48604
Saginaw County (989) 793-7220
COMPREHENSIVE PAIN MANAGEMENT CENTER, INC.
Pain Medicine (Interventional Pain Medicine)
4677 TOWNE CENTRE RD, SUITE 102
SAGINAW, MI 48604
Saginaw County (937) 673-3983
SAGINAW VALLEY NEUROLOGY PLLC
Psychiatry & Neurology (Neurology)
4677 TOWNE CENTRE RD, SUITE 303
SAGINAW, MI 48604
Saginaw County (989) 799-8712
NAMAN SALIBI MD
Neurological Surgery
4677 TOWNE CENTRE RD, SUITE 301
SAGINAW, MI 48604
Saginaw County (855) 298-9888
MR. RICHARD HERM FNP-BC
Nurse Practitioner (Family)
4677 TOWNE CENTRE RD, SUITE 301
SAGINAW, MI 48604
Saginaw County (855) 298-9888
MR. STEVEN L LACKIE P.A.
Physician Assistant (Medical)
4677 TOWNE CENTRE RD, SUITE 301
SAGINAW, MI 48604
Saginaw County (989) 799-8712
MYMICHIGAN MEDICAL CENTER SAGINAW
Clinic/Center (Occupational Medicine)
4677 TOWNE CENTRE RD, SUITE 201
SAGINAW, MI 48604
Saginaw County (989) 497-3171

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 Teresa Villano's NPI number?

The NPI number for Teresa Villano is 1427394766. It was assigned to this individual provider in the NPPES registry on December 13, 2012.

Where is Teresa Villano located?

Teresa Villano practices at 4677 Towne Centre Rd Suite 102, Saginaw, MI 48604. The listed phone number is (989) 790-0517.

What is Teresa Villano's specialty?

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

Is Teresa Villano enrolled in Medicare?

Yes. Teresa Villano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Teresa Villano accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Teresa Villano 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.

Is Teresa Villano affiliated with any hospitals?

According to CMS data, Teresa Villano is affiliated with Ascension St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Teresa Villano was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.