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THERESA VERTULLO PNP
NPI 1790081107
Nurse Practitioner - Pediatrics in Patchogue, NY

Active since February 02, 2011PECOS Enrolled
155 EAST WOODSIDE AVENUE, PATCHOGUE, NY 11772(631) 758-6565(631) 758-6568 Get Directions Write a Review

NPPES record last updated: March 26, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Theresa Vertullo Pnp NPPES

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

THERESA VERTULLO PNP (NPI 1790081107) is an individual pediatrics provider in Patchogue, New York, licensed in New York (F382155-1) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790081107
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTHERESA VERTULLOCredential: PNP
Location Address155 EAST WOODSIDE AVENUEPatchogue, NY 11772
Mailing Address155 E Woodside AvePatchogue, NY 11772-1423 · (631) 375-8486
Phone(631) 758-6565
Fax(631) 758-6568
Sole ProprietorNo
Enumeration DateFebruary 2, 2011
Last NPPES UpdateMarch 26, 2012
✔ NPI 1790081107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · F382155-1
155 EAST WOODSIDE AVENUE, Patchogue, NY 11772
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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 Vertullo Pnp 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 11772 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Vertullo's NPI number?

The NPI number for Theresa Vertullo is 1790081107. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Theresa Vertullo located?

Theresa Vertullo practices at 155 East Woodside Avenue, Patchogue, NY 11772. The listed phone number is (631) 758-6565.

What is Theresa Vertullo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Theresa Vertullo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Theresa Vertullo was last updated on March 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.