TERESA MELINDA JAMES APRN CFNP
NPI 1811529209
Family Medicine in Wagoner, OK

Q: What is Teresa James's NPI number?

The NPI number for Teresa James is 1811529209. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Q: What is Teresa James's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa James was last updated on February 21, 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.

Active since February 04, 2020PECOS EnrolledAccepts Medicare Assignment

1317 S DEWEY AVE, WAGONER, OK 74467(918) 401-1002 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Teresa Melinda James Aprn Cfnp NPPES

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

TERESA MELINDA JAMES APRN CFNP (NPI 1811529209) is an individual family medicine provider in Wagoner, Oklahoma, licensed in Oklahoma (99271) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Jackson County Memorial Hospital Authority, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811529209

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTERESA MELINDA JAMESCredential: APRN CFNP

Location Address1317 S DEWEY AVEWagoner, OK 74467-7013

Mailing AddressPo Box 348Braggs, OK 74423-0348 · (918) 351-3431

Phone(918) 401-1002

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 4, 2020

Last NPPES UpdateFebruary 21, 2024

NPPES CertifiedFebruary 21, 2024

✔ NPI 1811529209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 99271

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1317 S DEWEY AVE, Wagoner, OK 74467

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Other Identifiers 2

Medicaid200901640AOK

Other99271OK · Oklahoma Bon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Teresa Melinda James Aprn Cfnp 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 ID1850716481

PECOS Enrollment IDI20200730000184

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

412 services65 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson County Memorial Hospital Authority

Acute Care Hospitals · Altus, OK

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370022

Location1200 East Pecan StAltus, OK 73521 · Jackson County

Emergency services Birthing friendly

Oklahoma Center For Orthopaedic & Multi-Sp

Acute Care Hospitals · Oklahoma City, OK

OwnershipVoluntary non-profit - Private

CMS Certification Number370212

Location8100 South Walker Bldg COklahoma City, OK 73139 · Oklahoma County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74467 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$19.50 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers27 claims27 services$115.10 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$38.23 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier17 claims2,475 services$0.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers38 claims38 services$207.79 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier16 claims16 services$26.00 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 6

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

CMG FAMILY CLINIC

Family Medicine

1317 S DEWEY AVE
WAGONER, OK 74467

Wagoner County (918) 485-9696

NHANHIEN D TRAN PA-C

Physician Assistant

1317 S DEWEY AVE
WAGONER, OK 74467

Wagoner County (918) 485-9696

DR. ARLES GAREL RAY M.D.

General Practice

1317 S DEWEY AVE, SUITE 2
WAGONER, OK 74467

Wagoner County (918) 485-9696

GREAT PLAINS SLEEP SPECIALISTS LLC

Clinic/Center (Sleep Disorder Diagnostic)

1317 S DEWEY AVE
WAGONER, OK 74467

Wagoner County (918) 577-6963

HAZEL LOUISE REEL ARNP

Nurse Practitioner (Family)

1317 S DEWEY AVE
WAGONER, OK 74467

Wagoner County (918) 485-9696

URGENT CARE OF MUSKOGEE PLLC

Clinic/Center (Urgent Care)

1317 S DEWEY AVE
WAGONER, OK 74467

Wagoner County (918) 686-0400

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 Teresa James's NPI number?

The NPI number for Teresa James is 1811529209. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Teresa James located?

Teresa James practices at 1317 S Dewey Ave, Wagoner, OK 74467. The listed phone number is (918) 401-1002.

What is Teresa James's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Teresa James enrolled in Medicare?

Yes. Teresa James 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 Teresa James accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Teresa James 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 Teresa James affiliated with any hospitals?

According to CMS data, Teresa James is affiliated with Jackson County Memorial Hospital Authority and Oklahoma Center For Orthopaedic & Multi-Sp.

When was this NPI record last updated?

The NPPES record for Teresa James was last updated on February 21, 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.