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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Theresa Roelke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chest Medicine Associates, PA
Same address
Pulmonary Disease
100 FODEN ROAD, WEST BUILDING SUITE 103
South Portland, ME 04106
  • Reassigned Medicare billing, Maine enrollment
  • 40 clinicians in this Medicare group
NPI 1437255247 (207) 828-1122
Mainehealth
1.0 mi
Gynecology
100 BRICKHILL AVE
South Portland, ME 04106
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1679887400 (207) 775-1255
Maine Medical Partners
2.9 mi
Family Medicine
300 PROFESSIONAL DR
Scarborough, ME 04074
  • Reassigned Medicare billing, Maine enrollment
  • 206 clinicians in this Medicare group
NPI 1467477349 (207) 883-3491

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 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
Quality86.13
Promoting Interoperability100
Improvement Activities40

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)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-1122
DR. MEAGAN W MOORE MD, PHD
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-1122
CHEST MEDICINE ASSOCIATES, PA
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-1122
COLMAN JAMES HATTON MD
Internal Medicine (Critical Care Medicine)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-1122
MICHAEL JAEGER
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-1122
ADAM A ALTER MD
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-1122
MARIAN K PAULL APN
Nurse Practitioner (Adult Health)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-1122
DANIEL JOHN BULANOWSKI M.D.
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-1122

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 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.

Where is Theresa Roelke located?

Theresa Roelke practices at 100 Foden Rd Ste 103, South Portland, ME 04106. The listed phone number is (207) 828-1122.

What is Theresa Roelke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Theresa Roelke enrolled in Medicare?

Yes. Theresa Roelke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Theresa Roelke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Roelke reassigns Medicare benefits to 3 organizations: Chest Medicine Associates, PA (South Portland, ME), Mainehealth (South Portland, ME) and Maine Medical Partners (Scarborough, ME). Each 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 Roelke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Roelke accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Theresa Roelke 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.

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 7 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.