THERESA HALLENGREN ARNP-FNP-BC
NPI 1861161267
Nurse Practitioner - Primary Care in Cedar Rapids, IA

Active since September 09, 2021PECOS EnrolledAccepts Medicare Assignment
5264 COUNCIL ST NE STE 100, CEDAR RAPIDS, IA 52402(319) 221-8444 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theresa Hallengren Arnp-fnp-bc NPPES

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

THERESA HALLENGREN ARNP-FNP-BC (NPI 1861161267) is an individual primary care provider in Cedar Rapids, Iowa, licensed in Iowa (A165492) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861161267
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTHERESA HALLENGRENCredential: ARNP-FNP-BC
Location Address5264 COUNCIL ST NE STE 100Cedar Rapids, IA 52402-2499
Mailing Address6825 Devonshire Dr NeCedar Rapids, IA 52402-1403 · (563) 889-0600
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 3, 2021
NPI 1861161267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in IA · A165492
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 133979 (IA)
5264 COUNCIL ST NE STE 100, Cedar Rapids, IA 52402

Accepted 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 Hallengren Arnp-fnp-bc 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 ID6406254929
PECOS Enrollment IDI20211013001118
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 13

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
223 services210 patients
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.
70 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
64 services64 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
42 services41 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
42 services40 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
37 services35 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52402 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
5264 COUNCIL ST NE STE 100
CEDAR RAPIDS, IA 52402

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 Hallengren's NPI number?

The NPI number for Theresa Hallengren is 1861161267. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Theresa Hallengren located?

Theresa Hallengren practices at 5264 Council St NE Ste 100, Cedar Rapids, IA 52402. The listed phone number is (319) 221-8444.

What is Theresa Hallengren's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Theresa Hallengren enrolled in Medicare?

Yes. Theresa Hallengren 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 Hallengren accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Theresa Hallengren 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 Theresa Hallengren affiliated with any hospitals?

According to CMS data, Theresa Hallengren is affiliated with Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Theresa Hallengren was last updated on September 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.