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MRS. THERESA BURGESS KUBICKI PA-C
NPI 1801949474
Physician Assistant - Medical in Cary, NC

Active since January 18, 2007PECOS Enrolled
222 ASHVILLE AVE, CARY, NC 27518(919) 859-1136(919) 859-4240 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2021, Jan 20, 2017 (2 updates tracked since 2017).

About Mrs. Theresa Burgess Kubicki Pa-c NPPES

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

MRS. THERESA BURGESS KUBICKI PA-C (NPI 1801949474) is an individual medical provider in Cary, North Carolina, licensed in North Carolina (0101275) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801949474
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. THERESA BURGESS KUBICKICredential: PA-C
Location Address222 ASHVILLE AVECary, NC 27518-6130
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Phone(919) 859-1136
Fax(919) 859-4240
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1801949474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 0101275
Also ListedPhysician AssistantTaxonomy 363A00000X · License 101275 (NC)
222 ASHVILLE AVE, Cary, NC 27518
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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)

Mrs. Theresa Burgess Kubicki Pa-c 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.

Other Providers at the Same Location NPPES 18

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

NEAL K CHAWLA MD
Emergency Medicine
222 ASHVILLE AVE
CARY, NC 27518
Wake County (919) 859-1136
ROBIN JEAN MCALISTER MANGIONE M.D.
Family Medicine
222 ASHVILLE AVE
CARY, NC 27518
Wake County (919) 859-1136
DR. PATRICK W DONAHUE MD
Family Medicine
222 ASHVILLE AVE
CARY, NC 27518
Wake County (919) 859-1136
WILLIAM PANZO PA
Physician Assistant
222 ASHVILLE AVE
CARY, NC 27518
Wake County (919) 859-1136
DONALD PAUL ZELNA P.T.
Physical Therapist
222 ASHVILLE AVE, SUITE 20
CARY, NC 27518
Wake County (919) 863-5924
STEFAN T MAKSYMIW PT
Physical Therapist
222 ASHVILLE AVE, SUITE 20
CARY, NC 27518
Wake County (919) 863-5924
JENNIFER VANDE LOO
Physician Assistant
222 ASHVILLE AVE
CARY, NC 27518
Wake County (919) 859-1136
LEANNE AVERY PA-C
Physician Assistant
222 ASHVILLE AVE
CARY, NC 27518
Wake County (919) 859-1136

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 Kubicki's NPI number?

The NPI number for Theresa Kubicki is 1801949474. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Theresa Kubicki located?

Theresa Kubicki practices at 222 Ashville Ave, Cary, NC 27518. The listed phone number is (919) 859-1136.

What is Theresa Kubicki's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Theresa Kubicki enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Theresa Kubicki was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.