TERESA MAHONEY FADELY ACNP
NPI 1821214024
Nurse Practitioner - Acute Care in Los Angeles, CA
About Teresa Mahoney Fadely Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERESA MAHONEY FADELY ACNP (NPI 1821214024) is an individual acute care provider in Los Angeles, California, licensed in California (16174) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Teresa Mahoney Fadely Acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Fadely's NPI number?
The NPI number for Teresa Fadely is 1821214024. It was assigned to this individual provider in the NPPES registry on April 17, 2007.
Where is Teresa Fadely located?
Teresa Fadely practices at 200 Ucla Medical Plz Ste B265, Los Angeles, CA 90095. The listed phone number is (310) 825-0128.
What is Teresa Fadely's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Teresa Fadely enrolled in Medicare?
Yes. Teresa Fadely is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Teresa Fadely was last updated on June 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Teresa Mahoney Fadely, ACNP · NPI 1821214024
Acute Care physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1821214024 (Entity type: Individual)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 16174 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 UCLA MEDICAL PLZ, STE B265, Los Angeles, CA 90095-0001
- **Phone:** (310) 825-0128
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 28, 2011
- **Other identifiers:** Medicare PIN EX410Z (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1821214024) · Data from the CMS NPPES public registry.