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THERESA SOUTAR R.N. APN-C
NPI 1790737963
Nurse Practitioner - Adult Health in Laurel Springs, NJ

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
7.24/100
CMS Quality Rating
1405 CHEWS LANDING RD, LAUREL SPRINGS, NJ 08021(856) 227-6575(856) 374-9495 Get Directions Write a Review

NPPES record last updated: March 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Soutar R.n. Apn-c NPPES

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

THERESA SOUTAR R.N. APN-C (NPI 1790737963) is an individual adult health provider in Laurel Springs, New Jersey, licensed in New Jersey (26N009304400) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1790737963
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTHERESA SOUTARCredential: R.N. APN-C
Location Address1405 CHEWS LANDING RDLaurel Springs, NJ 08021-2769
Mailing Address402 Lippincott DrMarlton, NJ 08053-4112 · (856) 782-3300 · Fax (856) 504-8029
Phone(856) 227-6575
Fax(856) 374-9495
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 19, 2010
✔ NPI 1790737963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26N009304400
1405 CHEWS LANDING RD, Laurel Springs, NJ 08021
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN077356 SK3NJ
Medicare UPINS46519NJ
Medicare ID-Type Unspecified888596NJ
Medicaid6937306NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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 Soutar R.n. Apn-c 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 ID5597721100
PECOS Enrollment IDI20100623000709
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 8

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
818 services139 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
792 services153 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
84 services56 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
80 services42 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
80 services76 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
66 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08021 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

7.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost24.15

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$23.21 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$8.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. SHANTHI SUBBIAH MD
Internal Medicine
1405 CHEWS LANDING RD, SUITE 14
LAUREL SPRINGS, NJ 08021
Camden County (856) 782-3300
JAMES A PRATE O.D.
Optometrist
1405 CHEWS LANDING RD
LAUREL SPRINGS, NJ 08021
Camden County (856) 228-1171
KRISTIN CURI
Counselor (Professional)
1405 CHEWS LANDING RD
LAUREL SPRINGS, NJ 08021
Camden County (856) 287-0559
NIRMALA SELVAM M.D.
Internal Medicine
1405 CHEWS LANDING RD, STE. 4
LAUREL SPRINGS, NJ 08021
Camden County (856) 228-1118
JAMES A PRATE LLC
Exclusive Provider Organization
1405 CHEWS LANDING RD
LAUREL SPRINGS, NJ 08021
Camden County (856) 228-1171
GERICARE ASSOC LLC
Internal Medicine (Geriatric Medicine)
1405 CHEWS LANDING RD, STE 4
LAUREL SPRINGS, NJ 08021
Camden County (856) 228-1118
DR. QUE-CHI VUONG WONG M.D.
Family Medicine (Geriatric Medicine)
1405 CHEWS LANDING RD, SUITE 14
LAUREL SPRINGS, NJ 08021
Camden County (856) 227-6575
MISS VERONICA PATRICIA O'CONNOR PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1405 CHEWS LANDING RD
CLEMENTON, NJ 08021
Camden County (856) 245-7107

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 Soutar's NPI number?

The NPI number for Theresa Soutar is 1790737963. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Theresa Soutar located?

Theresa Soutar practices at 1405 Chews Landing Rd, Laurel Springs, NJ 08021. The listed phone number is (856) 227-6575.

What is Theresa Soutar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Theresa Soutar enrolled in Medicare?

Yes. Theresa Soutar 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.

What insurance does Theresa Soutar accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Theresa Soutar 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 Soutar was last updated on March 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.