TERESA SELF
NPI 1659159648
Nurse Practitioner - Family in Pittsburg, KS
About Teresa Self NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERESA SELF (NPI 1659159648) is an individual family provider in Pittsburg, Kansas, licensed in Kansas (82532) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2022).
NPPES Registry Identity
Specialties & Licenses
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 Self 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.
Medicare Billing Reassignments
3Medicare enrollment records show Teresa Self reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pittsburg, KS 66762
- Reassigned Medicare billing, Kansas enrollment
- 177 clinicians in this Medicare group
Olathe, KS 66062
- Reassigned Medicare billing, Kansas enrollment
- 384 clinicians in this Medicare group
Merriam, KS 66204
- Reassigned Medicare billing, Kansas enrollment
- 79 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Shawnee Mission
Acute Care Hospitals · Shawnee Mission, KSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 66762 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PITTSBURG, KS 66762
PITTSBURG, KS 66762
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 Self's NPI number?
The NPI number for Teresa Self is 1659159648. It was assigned to this individual provider in the NPPES registry on September 20, 2023.
Where is Teresa Self located?
Teresa Self practices at 1011 S Mount Carmel Pl, Pittsburg, KS 66762. The listed phone number is (888) 777-9170.
What is Teresa Self's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Teresa Self enrolled in Medicare?
Yes. Teresa Self 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 Self's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Self reassigns Medicare benefits to 3 organizations: Community Health Center Of Southeast Kansas, Inc. (Pittsburg, KS), Shawnee Mission Medical Center Inc (Olathe, KS) and Adventhealth Primary Care Mar (Merriam, KS). 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 Self's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Teresa Self accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 3 other insurers list Teresa Self 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 Self affiliated with any hospitals?
According to CMS data, Teresa Self is affiliated with Adventhealth Shawnee Mission.
When was this NPI record last updated?
The NPPES record for Teresa Self was last updated on September 20, 2023. 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.
# Teresa Self · NPI 1659159648
Family physician in Pittsburg, Kansas. Individual provider, active in the CMS NPPES registry since September 20, 2023.
## Identity
- **NPI:** 1659159648 (Entity type: Individual)
- **Enumerated:** September 20, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 82532 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1011 S MOUNT CARMEL PL, Pittsburg, KS 66762-6604
- **Phone:** (888) 777-9170
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Community Health Center Of Southeast Kansas, Inc. (NPI 1427677723, Pittsburg, KS); Shawnee Mission Medical Center Inc (NPI 1326551144, Olathe, KS); Adventhealth Primary Care Mar (NPI 1992630677, Merriam, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 2022
## Record status
- **NPPES last updated:** September 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1659159648) · Data from the CMS NPPES public registry.