THERESA FURBISH
NPI 1679174908
Nurse Practitioner in Salt Lake City, UT

Q: What is Theresa Furbish's NPI number?

The NPI number for Theresa Furbish is 1679174908. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Q: What is Theresa Furbish's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Furbish was last updated on October 27, 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 November 03, 2020PECOS EnrolledAccepts Medicare Assignment

5373 S GREEN ST STE 400, SALT LAKE CITY, UT 84123(833) 442-2670 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 27, 2023, Nov 3, 2020 (2 updates tracked since 2020).

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About Theresa Furbish NPPES

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

THERESA FURBISH (NPI 1679174908) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (316406-4405) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679174908

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA FURBISH

Location Address5373 S GREEN ST STE 400Salt Lake City, UT 84123-4740

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(833) 442-2670

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 3, 2020

Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration

NPPES CertifiedOctober 27, 2023

✔ NPI 1679174908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 316406-4405

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5373 S GREEN ST STE 400, Salt Lake City, UT 84123

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.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

Theresa Furbish 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 ID7517351422

PECOS Enrollment IDI20220218000233

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

Medicare enrollment records show Theresa Furbish reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc

Same address

Family Medicine

5373 S GREEN ST STE 400
Murray, UT 84123

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1275107617 (833) 442-2670

Valley Mental Health Incorporated

2.1 mi

Psychiatry

5965 S 900 E, SUITE 240
Salt Lake City, UT 84121

Reassigned Medicare billing, Utah enrollment
Medicare enrollment name: Valley Behavioral Health Incorporated
118 clinicians in this Medicare group

NPI 1275599797 (801) 263-7225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84123 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

SPENCER KEVIN HILL PA-C

Physician Assistant