THERESA ANN CONLON NP
NPI 1760901300
Nurse Practitioner - Acute Care in Chapel Hill, NC
About Theresa Ann Conlon Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA ANN CONLON NP (NPI 1760901300) is an individual acute care provider in Chapel Hill, North Carolina, licensed in North Carolina (5019359) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and maintains a secondary practice location in Sioux City.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theresa Ann Conlon 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theresa Conlon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Muscatine, IA 52761
- Reassigned Medicare billing, Iowa enrollment
- 1,506 clinicians in this Medicare group
Sioux City, IA 51101
- Reassigned Medicare billing, Iowa enrollment
- 48 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Regional Medical Center
Acute Care Hospitals · Sioux City, IAHorn Memorial Hospital
Critical Access Hospitals · Ida Grove, IABurgess Health Center
Critical Access Hospitals · Onawa, IACherokee Regional Medical Center
Critical Access Hospitals · Cherokee, IAFloyd Valley Healthcare
Critical Access Hospitals · Le Mars, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27514 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
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 Conlon's NPI number?
The NPI number for Theresa Conlon is 1760901300. It was assigned to this individual provider in the NPPES registry on September 14, 2017.
Where is Theresa Conlon located?
Theresa Conlon practices at 101 Manning Dr, Chapel Hill, NC 27514. The listed phone number is (984) 974-1000.
What is Theresa Conlon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Theresa Conlon enrolled in Medicare?
Yes. Theresa Conlon 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.
Which organizations bill Medicare for Theresa Conlon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Conlon reassigns Medicare benefits to 2 organizations: Iowa Physicians Clinic Medical Foundation (Muscatine, IA) and Sioux City Hospitalist Group, LLC (Sioux City, IA). 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 Conlon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Conlon accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Oscar Health and Oscar Insurance Company and 1 other insurer list Theresa Conlon 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 Conlon affiliated with any hospitals?
According to CMS data, Theresa Conlon is affiliated with St Lukes Regional Medical Center, Horn Memorial Hospital, Burgess Health Center, Cherokee Regional Medical Center and Floyd Valley Healthcare.
When was this NPI record last updated?
The NPPES record for Theresa Conlon was last updated on March 6, 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.
# Theresa Ann Conlon, NP · NPI 1760901300
Acute Care physician in Chapel Hill, North Carolina. Individual provider, active in the CMS NPPES registry since September 14, 2017.
## Identity
- **NPI:** 1760901300 (Entity type: Individual)
- **Enumerated:** September 14, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 5019359 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 MANNING DR, Chapel Hill, NC 27514-4220
- **Phone:** (984) 974-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Iowa Physicians Clinic Medical Foundation (NPI 1982831426, Muscatine, IA); Sioux City Hospitalist Group, LLC (NPI 1427789148, Sioux City, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1760901300) · Data from the CMS NPPES public registry.