TERESA SELF
NPI 1659159648
Nurse Practitioner - Family in Pittsburg, KS

Q: 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.

Q: What is Teresa Self's specialty?

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

Q: 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 2 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 September 20, 2023PECOS EnrolledAccepts Medicare Assignment

1011 S MOUNT CARMEL PL, PITTSBURG, KS 66762(888) 777-9170 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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

NPI1659159648

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTERESA SELF

Location Address1011 S MOUNT CARMEL PLPittsburg, KS 66762-6604

Mailing AddressPo Box 1832Pittsburg, KS 66762-1832 · (620) 240-5668

Phone(888) 777-9170

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2022

Enumeration DateSeptember 20, 2023

NPPES CertifiedSeptember 20, 2023

✔ NPI 1659159648 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 KS · 82532

1011 S MOUNT CARMEL PL, Pittsburg, KS 66762

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

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.

PECOS PAC ID2961858311

PECOS Enrollment IDI20231021000670

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.

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, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170104

Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County

Emergency services Birthing friendly

Physician 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.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 11

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

MRS. MEGAN MARTIN PHARMD

Pharmacist