TERESA K MAHAN-ETHERIDGE APRN
NPI 1699070433
Nurse Practitioner - Neonatal in Tampa, FL

Q: What is Teresa Mahan-etheridge's NPI number?

The NPI number for Teresa Mahan-etheridge is 1699070433. It was assigned to this individual provider in the NPPES registry on January 25, 2011. The provider is also known as Teresa K Mahan Aprn.

Q: What is Teresa Mahan-etheridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Active since January 25, 2011PECOS Enrolled

3100 E FLETCHER AVE, TAMPA, FL 33613(813) 467-4770(813) 467-4243 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2025, Mar 13, 2025, Oct 22, 2020 and 1 more (4 updates tracked since 2019).

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About Teresa K Mahan-etheridge Aprn NPPES

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

TERESA K MAHAN-ETHERIDGE APRN (NPI 1699070433) is an individual neonatal provider in Tampa, Florida, licensed in Florida (APRN9208090) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699070433

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameTERESA K MAHAN-ETHERIDGECredential: APRN

Location Address3100 E FLETCHER AVETampa, FL 33613-4613

Mailing Address3100 E Fletcher AveTampa, FL 33613-4613 · (813) 467-4770 · Fax (813) 467-4243

Phone(813) 467-4770

Fax(813) 467-4243

Sole ProprietorNo

Enumeration DateJanuary 25, 2011

Last NPPES UpdateMay 23, 20254 updates tracked since enumeration

NPPES CertifiedMay 23, 2025

✔ NPI 1699070433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in FL · APRN9208090

3100 E FLETCHER AVE, Tampa, FL 33613

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Other Names 1

Former Name (1)Teresa K Mahan Aprn

Other Identifiers 2

OtherY06M3FL · Blue Cross Blue Shield

Medicaid003148500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Oscar Health Maintenance Organization of Florida 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 (PECOS)

Teresa K Mahan-etheridge Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Teresa Mahan-etheridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc

72 mi

Family Medicine

1115 E RIDGEWOOD ST
Orlando, FL 32803

Reassigned Medicare billing, Florida enrollment
3,005 clinicians in this Medicare group

NPI 1225034234 (407) 841-1100

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 33613 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

ELEANOR INNOCENT DPT

Physical Therapist