MRS. TERESA LYNN GEGAX-MARTINEZ ARNP
NPI 1861780264
Nurse Practitioner - Adult Health in Seattle, WA

Active since July 19, 2011PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1560 N 115TH ST, MS W-201, SEATTLE, WA 98133(206) 368-1244(206) 368-1270 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Teresa Lynn Gegax-martinez Arnp NPPES

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

MRS. TERESA LYNN GEGAX-MARTINEZ ARNP (NPI 1861780264) is an individual adult health provider in Seattle, Washington, licensed in Washington (AP60235412) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861780264
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. TERESA LYNN GEGAX-MARTINEZCredential: ARNP
Location Address1560 N 115TH ST, MS W-201Seattle, WA 98133-8414
Mailing Address1560 N 115th St, Ms W-201Seattle, WA 98133-8414 · (206) 368-1244 · Fax (206) 368-1270
Fax(206) 368-1270
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 19, 2011
NPI 1861780264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in WA · AP60235412
1560 N 115TH ST, Seattle, WA 98133

Other Names 1

Former Name (1)Teresa Lynn Gegax

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

Mrs. Teresa Lynn Gegax-martinez Arnp 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 ID244409795
PECOS Enrollment IDI20110818000029
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 3

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
161 services130 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
49 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98133 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Radiation Oncology)
1560 N 115TH ST, C/O SWEDISH CANCER INSTITUTE @ NORTHWEST
SEATTLE, WA 98133
Neurological Surgery
1560 N 115TH ST, 209
SEATTLE, WA 98133
Internal Medicine
1560 N 115TH ST, SUITE 207
SEATTLE, WA 98133
Internal Medicine (Hematology & Oncology)
1560 N 115TH ST, G - 16
SEATTLE, WA 98133
Surgery
1560 N 115TH ST, SUITE 102
SEATTLE, WA 98133
Nurse Practitioner
1560 N 115TH ST, SUITE G-5
SEATTLE, WA 98133
Internal Medicine (Cardiovascular Disease)
1560 N 115TH ST
SEATTLE, WA 98133
Radiology (Radiation Oncology)
1560 N 115TH ST, SUITE G16
SEATTLE, WA 98133

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 Gegax-martinez's NPI number?

The NPI number for Teresa Gegax-martinez is 1861780264. It was assigned to this individual provider in the NPPES registry on July 19, 2011. The provider is also known as Teresa Lynn Gegax.

Where is Teresa Gegax-martinez located?

Teresa Gegax-martinez practices at 1560 N 115th St Ms W-201, Seattle, WA 98133. The listed phone number is (206) 368-1244.

What is Teresa Gegax-martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Teresa Gegax-martinez enrolled in Medicare?

Yes. Teresa Gegax-martinez 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 Gegax-martinez accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Teresa Gegax-martinez 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 Gegax-martinez affiliated with any hospitals?

According to CMS data, Teresa Gegax-martinez is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Teresa Gegax-martinez was last updated on July 19, 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.