THERESA ANN STOKER NP
NPI 1720740723
Nurse Practitioner - Family in Ottumwa, IA

Q: What is Theresa Stoker's NPI number?

The NPI number for Theresa Stoker is 1720740723. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Q: What is Theresa Stoker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Stoker was last updated on July 19, 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.

Active since October 07, 2021PECOS EnrolledAccepts Medicare Assignment

64.07/100

CMS Quality Rating

522 N HANCOCK ST, OTTUMWA, IA 52501(641) 683-0800(641) 683-0801 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2024, Jan 7, 2022, Oct 7, 2021 (3 updates tracked since 2021).

On this page

About Theresa Ann Stoker Np NPPES

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

THERESA ANN STOKER NP (NPI 1720740723) is an individual family provider in Ottumwa, Iowa, licensed in Iowa (A165763) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Ottumwa Regional Health Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1720740723

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTHERESA ANN STOKERCredential: NP

Location Address522 N HANCOCK STOttumwa, IA 52501-4231

Mailing Address1 Saint Joseph DrCenterville, IA 52544-9017 · (641) 437-3000 · Fax (641) 437-3403

Phone(641) 683-0800

Fax(641) 683-0801

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateOctober 7, 2021

Last NPPES UpdateJuly 19, 20243 updates tracked since enumeration

NPPES CertifiedJuly 19, 2024

✔ NPI 1720740723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IA · A165763

522 N HANCOCK ST, Ottumwa, IA 52501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, Sanford Health Plan.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

Theresa Ann Stoker Np 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 ID1951792613

PECOS Enrollment IDI20220106002665

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

168 services121 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

124 services102 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

49 services49 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ottumwa Regional Health Center

Acute Care Hospitals · Ottumwa, IA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number160089

Location1001 E PennsylvaniaOttumwa, IA 52501 · Wapello County

Emergency services Birthing friendly

Davis County Hospital

Critical Access Hospitals · Bloomfield, IA

OwnershipGovernment - Local

CMS Certification Number161327

Location509 North Madison StreetBloomfield, IA 52537 · Davis County

Emergency services

Mercyone Centerville Medical Center

Critical Access Hospitals · Centerville, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161377

LocationOne St Joseph's DriveCenterville, IA 52544 · Appanoose County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52501 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

64.07/100

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

Scored as part of a group practice

Quality

76.43

Promoting Interoperability

Improvement Activities

Cost

22.96

Other Providers at the Same Location NPPES 14

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

GRACE HOWE ARNP

Nurse Practitioner (Family)