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MARY TERESA FOLK
NPI 1801456165
Nurse Practitioner - Gerontology in Crown Point, IN

Active since June 19, 2019PECOS Enrolled
82.31/100
CMS Quality Rating
2100 N MAIN ST STE 304, CROWN POINT, IN 46307(574) 546-1900(574) 546-1999 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2020, Jun 19, 2019 (2 updates tracked since 2019).

About Mary Teresa Folk NPPES

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

MARY TERESA FOLK (NPI 1801456165) is an individual gerontology provider in Crown Point, Indiana, licensed in Indiana (71009310A) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801456165
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY TERESA FOLK
Location Address2100 N MAIN ST STE 304Crown Point, IN 46307-1877
Mailing AddressPo Box 10299Fort Wayne, IN 46851-0299 · (574) 546-1900 · Fax (574) 546-1999
Phone(574) 546-1900
Fax(574) 546-1999
Sole ProprietorNo
Enumeration DateJune 19, 2019
Last NPPES UpdateJuly 24, 20202 updates tracked since enumeration
NPPES CertifiedJuly 24, 2020
✔ NPI 1801456165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in IN · 71009310A✔ Licensed in KY · 3013448
2100 N MAIN ST STE 304, Crown Point, IN 46307
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Teresa Folk 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.

Areas of Expertise CMS Part B claims 6

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.
2,425 services246 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.
776 services198 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.
90 services30 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
49 services49 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
22 services22 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.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

82.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.88
Promoting Interoperability100
Improvement Activities40
Cost47.82

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.

MISS MELISSA D PATTERSON-WRIGHT MSW
Social Worker (Clinical)
2100 N MAIN ST STE 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
ANITA D ARTHUR APRN
Nurse Practitioner (Gerontology)
2100 N MAIN ST STE 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
MIRA M MAY LCSW
Social Worker (Clinical)
2100 N MAIN ST STE 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
MS. HEATHER RONELLE BLOOMFIELD NP
Nurse Practitioner
2100 N MAIN ST STE 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
ARTRICIA DESIREE BONAPARTE
Nurse Practitioner (Family)
2100 N MAIN ST STE 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
LISA ELLEN STONEBRAKER LCSW
Social Worker (Clinical)
2100 N MAIN ST STE 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
ROBIN CHRISTIAN SHEAR PH.D., HSPP
Psychologist (Clinical)
2100 N MAIN ST STE 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
CASSIE SANDERS LCSW
Social Worker (Clinical)
2100 N MAIN ST STE 304
CROWN POINT, IN 46307
Lake County (574) 546-1900

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 Mary Folk's NPI number?

The NPI number for Mary Folk is 1801456165. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Mary Folk located?

Mary Folk practices at 2100 N Main St Ste 304, Crown Point, IN 46307. The listed phone number is (574) 546-1900.

What is Mary Folk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mary Folk enrolled in Medicare?

Yes. Mary Folk is registered in the Medicare PECOS enrollment system.

What insurance does Mary Folk accept?

Health plans from CareSource list Mary Folk 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 Mary Folk was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.