MRS. TINA N THEOBALD ARNP
NPI 1710310768
Nurse Practitioner in Plant City, FL
Active since August 14, 2013
About Mrs. Tina N Theobald Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TINA N THEOBALD ARNP (NPI 1710310768) is an individual nurse practitioner in Plant City, Florida, licensed in Florida (ARNP9268946) and active in the NPI registry since August 2013.
NPPES Registry Identity
NPI1710310768
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. TINA N THEOBALDCredential: ARNP
Location Address3302 W BAKER STPlant City, FL 33563-2851
Mailing Address3302 W Baker StPlant City, FL 33563-2851 · (813) 752-1336 · Fax (813) 754-6914
Phone(813) 752-1336
Fax(813) 754-6914
Sole ProprietorYes
Enumeration DateAugust 14, 2013
Last NPPES UpdateNovember 14, 2013
✔ NPI 1710310768 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 FL · ARNP9268946
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.
3302 W BAKER ST, Plant City, FL 33563
Other Identifiers 1
Medicare PINHP558ZFL
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%109 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
11%81 patients1/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%558 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%1,773 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%118 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%412 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
72%407 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 147 patients
79%98 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
61%98 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
74%412 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%412 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
25%412 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tina Theobald's NPI number?
The NPI number for Tina Theobald is 1710310768. It was assigned to this individual provider in the NPPES registry on August 14, 2013.
Where is Tina Theobald located?
Tina Theobald practices at 3302 W Baker St, Plant City, FL 33563. The listed phone number is (813) 752-1336.
What is Tina Theobald's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
When was this NPI record last updated?
The NPPES record for Tina Theobald was last updated on November 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mrs. Tina N Theobald, ARNP · NPI 1710310768
Nurse Practitioner physician in Plant City, Florida. Individual provider, active in the CMS NPPES registry since August 14, 2013.
## Identity
- **NPI:** 1710310768 (Entity type: Individual)
- **Enumerated:** August 14, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** ARNP9268946 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3302 W BAKER ST, Plant City, FL 33563-2851
- **Phone:** (813) 752-1336 · **Fax:** (813) 754-6914
## Record status
- **NPPES last updated:** November 14, 2013
- **Other identifiers:** Medicare PIN HP558Z (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1710310768) · Data from the CMS NPPES public registry.