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MRS. TERESA MARIE GAITHER FNP
NPI 1568835890
Nurse Practitioner - Family in Phoenix, AZ

Active since November 09, 2015PECOS EnrolledAccepts Medicare Assignment
16515 S. 40TH ST, BLDG 9, SUITE 143, PHOENIX, AZ 85048(480) 712-8319(480) 712-1305 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2022, May 23, 2019, May 1, 2019 and 3 more (6 updates tracked since 2015).

About Mrs. Teresa Marie Gaither Fnp NPPES

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

MRS. TERESA MARIE GAITHER FNP (NPI 1568835890) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP8166) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568835890
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TERESA MARIE GAITHERCredential: FNP
Location Address16515 S. 40TH ST, BLDG 9, SUITE 143Phoenix, AZ 85048-0560
Mailing Address3083 S Cottonwood CtChandler, AZ 85286-2384 · (480) 712-8319 · Fax (480) 712-1305
Phone(480) 712-8319
Fax(480) 712-1305
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 9, 2015
Last NPPES UpdateNovember 3, 20226 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1568835890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP8166
16515 S. 40TH ST, BLDG 9, SUITE 143, Phoenix, AZ 85048
Open in Google Maps ↗

Secondary Practice Locations 6

Location 15900 Balcones Drive Suite 100Austin, TX 78731 · Phone (602) 888-2344 · Fax (833) 833-2656
Location 2800 5th Avenue, Ste 101-800Seattle, WA 98104 · Phone (480) 712-8319 · Fax (480) 712-1305
Location 35900 Balcones Drive Suite 6954Austin, TX 78731 · Phone (480) 712-8319 · Fax (480) 712-1305
Location 4401 Ryland St, Suite 200-AReno, NV 89502 · Phone (480) 712-8319 · Fax (480) 712-1305
Location 51942 Broadway St, Suite 314CBoulder, CO 80302 · Phone (480) 712-8319 · Fax (480) 712-1305
Location 67901 4th St N, Ste 300Saint Petersburg, FL 33702 · Phone (480) 712-8319 · Fax (480) 712-1305

Other Identifiers 9

OtherAP61336652WA · License
OtherAPRN11020482FL · License
Medicaid080049AZ
Other68527ID · License
OtherAPN0002960CO · License
OtherAPRN-CNP934913NV · License
OtherF0915793Board
Other1023833TX · License
OtherAP8166AZ · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona, BridgeSpan Health Company 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

Mrs. Teresa Marie Gaither Fnp 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 ID9931480985
PECOS Enrollment IDI20221010001955, I20230209001339, I20240825000014
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 5

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.

Therapy procedure using ultrasound 97610
Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.
522 services120 patients
Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
315 services13 patients
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.
33 services15 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
15 services12 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85048 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
4 suppliers20 claims247 services$22.03 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
4 suppliers21 claims205 services$7.21 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
4 suppliers18 claims19 services$469.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MISS MISCHELLE K JOHNSON PAC
Physician Assistant
16515 S. 40TH ST, BLDG 9, SUITE 143
PHOENIX, AZ 85048
Maricopa County (480) 712-8319

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 Gaither's NPI number?

The NPI number for Teresa Gaither is 1568835890. It was assigned to this individual provider in the NPPES registry on November 9, 2015.

Where is Teresa Gaither located?

Teresa Gaither practices at 16515 S. 40th St, Bldg 9, Suite 143, Phoenix, AZ 85048. The listed phone number is (480) 712-8319.

What is Teresa Gaither's specialty?

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

Is Teresa Gaither enrolled in Medicare?

Yes. Teresa Gaither 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 Gaither accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon and 1 other insurer list Teresa Gaither 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 Teresa Gaither was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.