MRS. MARY THERESA GREMP PNP-BC
NPI 1457665176
Nurse Practitioner - Pediatrics in Dallas, TX

Q: What is Mary Gremp's NPI number?

The NPI number for Mary Gremp is 1457665176. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Q: What is Mary Gremp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Gremp was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 05, 2010PECOS Enrolled

1401 S BUCKNER BLVD STE 139, DALLAS, TX 75217(469) 488-4400(469) 488-4401 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Mary Theresa Gremp Pnp-bc NPPES

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

MRS. MARY THERESA GREMP PNP-BC (NPI 1457665176) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (705520) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457665176

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. MARY THERESA GREMPCredential: PNP-BC

Location Address1401 S BUCKNER BLVD STE 139Dallas, TX 75217-1704

Mailing Address1401 S Buckner Blvd Ste 139Dallas, TX 75217-1704 · (469) 488-4400 · Fax (469) 488-4401

Phone(469) 488-4400

Fax(469) 488-4401

Sole ProprietorNo

Enumeration DateAugust 5, 2010

Last NPPES UpdateMarch 17, 2014

✔ NPI 1457665176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · 705520

1401 S BUCKNER BLVD STE 139, Dallas, TX 75217

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Theresa Gremp Pnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75217 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

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Other Providers at the Same Location NPPES 7

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

MITSY DAVIES FNP

Nurse Practitioner (Family)