MISS THERESA M PEQUEEN FNP
NPI 1720328412
Nurse Practitioner - Family in Delevan, NY
About Miss Theresa M Pequeen Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS THERESA M PEQUEEN FNP (NPI 1720328412) is an individual family provider in Delevan, New York, licensed in New York (F337625-1) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Theresa M Pequeen Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theresa Pequeen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Olean, NY 14760
- Reassigned Medicare billing, New York enrollment
- 163 clinicians in this Medicare group
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 14042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
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 Theresa Pequeen's NPI number?
The NPI number for Theresa Pequeen is 1720328412. It was assigned to this individual provider in the NPPES registry on February 18, 2013.
Where is Theresa Pequeen located?
Theresa Pequeen practices at 38 N Main St, Delevan, NY 14042. The listed phone number is (716) 707-7040.
What is Theresa Pequeen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Theresa Pequeen enrolled in Medicare?
Yes. Theresa Pequeen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theresa Pequeen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Pequeen reassigns Medicare benefits to Olean General Hospital (Olean, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Pequeen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theresa Pequeen was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Miss Theresa M Pequeen, FNP · NPI 1720328412
Family physician in Delevan, New York. Individual provider, active in the CMS NPPES registry since February 18, 2013.
## Identity
- **NPI:** 1720328412 (Entity type: Individual)
- **Enumerated:** February 18, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F337625-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 38 N MAIN ST, Delevan, NY 14042-9501
- **Phone:** (716) 707-7040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Olean General Hospital (NPI 1033499017, Olean, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1720328412) · Data from the CMS NPPES public registry.