THERESA ROELKE NP
NPI 1720525447
Nurse Practitioner in South Portland, ME

Q: What is Theresa Roelke's NPI number?

The NPI number for Theresa Roelke is 1720525447. It was assigned to this individual provider in the NPPES registry on January 20, 2017. The provider is also known as Theresa Fish.

Q: What is Theresa Roelke'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 Roelke was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 January 20, 2017PECOS Enrolled

98.06/100

CMS Quality Rating

100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106(207) 828-1122(207) 828-1122 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Dec 5, 2025, Apr 27, 2017 and 2 more (5 updates tracked since 2017).

On this page

About Theresa Roelke Np NPPES

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

THERESA ROELKE NP (NPI 1720525447) is an individual nurse practitioner in South Portland, Maine, licensed in Maine (CNP161163) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Scarborough.

NPPES Registry Identity

NPI1720525447

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA ROELKECredential: NP

Location Address100 FODEN RD STE 103South Portland, ME 04106-2327

Mailing Address100 Foden Rd Ste 6bSouth Portland, ME 04106-2327 · (207) 828-1122 · Fax (207) 828-0188

Phone(207) 828-1122

Fax(207) 828-1122

Sole ProprietorNo

Enumeration DateJanuary 20, 2017

Last NPPES UpdateMarch 24, 20265 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1720525447 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 ME · CNP161163

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.

100 FODEN RD STE 103, South Portland, ME 04106

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Other Names 1

Former Name (1)Theresa Fish

Secondary Practice Location 1

Location 1100 Campus Dr, Suite 121Scarborough, ME 04074-7171 · Phone (207) 396-7760 · Fax (207) 396-8500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Roelke Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS MELLOW M.D.

Pediatrics (Pediatric Pulmonology)