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MA TERESA DATOON PANGANIBAN NURSE PRACTITIONER
NPI 1558036293
Nurse Practitioner - Primary Care in Glendale Heights, IL

Active since August 13, 2021PECOS Enrolled
1920 ASPEN LN, GLENDALE HEIGHTS, IL 60139(630) 965-3354 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ma Teresa Datoon Panganiban Nurse Practitioner NPPES

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

MA TERESA DATOON PANGANIBAN NURSE PRACTITIONER (NPI 1558036293) is an individual primary care provider in Glendale Heights, Illinois, licensed in Illinois (209020448) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558036293
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMA TERESA DATOON PANGANIBANCredential: NURSE PRACTITIONER
Location Address1920 ASPEN LNGlendale Heights, IL 60139-2139
Mailing Address1920 Aspen LnGlendale Heights, IL 60139-2139 · (630) 965-3354
Phone(630) 965-3354
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1558036293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209020448
1920 ASPEN LN, Glendale Heights, IL 60139
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ma Teresa Datoon Panganiban Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537565528
PECOS Enrollment IDI20210830002627
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 3

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
276 services88 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
264 services83 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60139 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Ma Teresa Panganiban's NPI number?

The NPI number for Ma Teresa Panganiban is 1558036293. It was assigned to this individual provider in the NPPES registry on August 13, 2021.

Where is Ma Teresa Panganiban located?

Ma Teresa Panganiban practices at 1920 Aspen Ln, Glendale Heights, IL 60139. The listed phone number is (630) 965-3354.

What is Ma Teresa Panganiban's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Ma Teresa Panganiban enrolled in Medicare?

Yes. Ma Teresa Panganiban is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ma Teresa Panganiban was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.