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MRS. THERESA MARGARET MCDONNELL APRN, BC
NPI 1720094907
Nurse Practitioner - Acute Care in Durham, NC

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
40 DUKE MEDICINE CIR STE 1117, DURHAM, NC 27710(919) 681-2345(919) 684-8528 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Jul 21, 2022, Jul 26, 2017 (3 updates tracked since 2017).

About Mrs. Theresa Margaret Mcdonnell Aprn, Bc NPPES

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

MRS. THERESA MARGARET MCDONNELL APRN, BC (NPI 1720094907) is an individual acute care provider in Durham, North Carolina, licensed in North Carolina (5019732) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1720094907
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. THERESA MARGARET MCDONNELLCredential: APRN, BC
Location Address40 DUKE MEDICINE CIR STE 1117Durham, NC 27710-5095
Mailing Address40 Duke Medicine Cir Ste 1117Durham, NC 27710-5095 · (919) 681-2345 · Fax (196) 848-5289
Phone(919) 681-2345
Fax(919) 684-8528
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 31, 2006
Last NPPES UpdateMay 7, 20243 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1720094907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in NC · 5019732✔ Licensed in WA · MD60683790
40 DUKE MEDICINE CIR STE 1117, Durham, NC 27710
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Mrs. Theresa Margaret Mcdonnell Aprn, Bc 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 ID3476558107
PECOS Enrollment IDI20240523000868
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.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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 Theresa Mcdonnell's NPI number?

The NPI number for Theresa Mcdonnell is 1720094907. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Theresa Mcdonnell located?

Theresa Mcdonnell practices at 40 Duke Medicine Cir Ste 1117, Durham, NC 27710. The listed phone number is (919) 681-2345.

What is Theresa Mcdonnell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Theresa Mcdonnell enrolled in Medicare?

Yes. Theresa Mcdonnell 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.

What insurance does Theresa Mcdonnell accept?

Health plans from Blue Cross and Blue Shield of NC list Theresa Mcdonnell 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 Theresa Mcdonnell affiliated with any hospitals?

According to CMS data, Theresa Mcdonnell is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Mcdonnell was last updated on May 7, 2024. 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.