TERESA PRICE
NPI 1619425741
Nurse Practitioner - Family in Watertown, WI

Active since September 19, 2016PECOS EnrolledAccepts Medicare Assignment
125 HOSPITAL DR, WATERTOWN, WI 53098(920) 262-4449(920) 262-4533 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 18, 2017, Sep 19, 2016 (2 updates tracked since 2016).

About Teresa Price NPPES

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

TERESA PRICE (NPI 1619425741) is an individual family provider in Watertown, Wisconsin, licensed in Wisconsin (7271-33) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619425741
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA PRICE
Location Address125 HOSPITAL DRWatertown, WI 53098-3303
Mailing Address125 Hospital DrWatertown, WI 53098-3303 · (920) 262-4449 · Fax (920) 262-4533
Fax(920) 262-4533
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 19, 2016
Last NPPES UpdateApril 18, 20172 updates tracked since enumeration
✔ NPI 1619425741 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 WI · 7271-33
125 HOSPITAL DR, Watertown, WI 53098

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresa Price 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 ID2769760461
PECOS Enrollment IDI20161101000858
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 Teresa Price reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
125 HOSPITAL DR
Watertown, WI 53098
  • Reassigned Medicare billing, Wisconsin enrollment
  • 215 clinicians in this Medicare group
Family Medicine
480 VILLAGE WALK LN STE F
Johnson Creek, WI 53038
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Three Oaks Health Sc
  • 3 clinicians in this Medicare group

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.
33 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53098 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 20

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

Registered Nurse
125 HOSPITAL DR
WATERTOWN, WI 53098
Dietitian, Registered
125 HOSPITAL DR
WATERTOWN, WI 53098
Anesthesiology (Pain Medicine)
125 HOSPITAL DR
WATERTOWN, WI 53098
Anesthesiology
125 HOSPITAL DR
WATERTOWN, WI 53098
Obstetrics & Gynecology
125 HOSPITAL DR
WATERTOWN, WI 53098
Nurse Practitioner (Family)
125 HOSPITAL DR
WATERTOWN, WI 53098
Anesthesiology
125 HOSPITAL DR
WATERTOWN, WI 53098
Physician Assistant
125 HOSPITAL DR
WATERTOWN, WI 53098

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 Price's NPI number?

The NPI number for Teresa Price is 1619425741. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Teresa Price located?

Teresa Price practices at 125 Hospital Dr, Watertown, WI 53098. The listed phone number is (920) 262-4449.

What is Teresa Price's specialty?

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

Is Teresa Price enrolled in Medicare?

Yes. Teresa Price 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.

Which organizations bill Medicare for Teresa Price's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Price reassigns Medicare benefits to 2 organizations: Watertown Physician Practices LLC (Watertown, WI) and Three Oaks Health S.C. (Johnson Creek, WI). 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 Teresa Price's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Price accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Group Health Cooperative-SCW and MercyCare and 4 other insurers list Teresa Price 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 Price affiliated with any hospitals?

According to CMS data, Teresa Price is affiliated with Fort Memorial Hospital and Watertown Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Teresa Price was last updated on April 18, 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.