THERESA I RINEHART FNP-C
NPI 1881231090
Family Medicine in Sturgis, MI

Q: What is Theresa Rinehart's NPI number?

The NPI number for Theresa Rinehart is 1881231090. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Q: What is Theresa Rinehart'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 Theresa Rinehart was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 06, 2019PECOS EnrolledAccepts Medicare Assignment

1717 E CHICAGO RD, STURGIS, MI 49091(269) 651-1471 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2023, Dec 6, 2019 (2 updates tracked since 2019).

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About Theresa I Rinehart Fnp-c NPPES

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

THERESA I RINEHART FNP-C (NPI 1881231090) is an individual family medicine provider in Sturgis, Michigan, licensed in Michigan (F11190701) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Three Rivers Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881231090

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTHERESA I RINEHARTCredential: FNP-C

Location Address1717 E CHICAGO RDSturgis, MI 49091-8524

Mailing Address1717 Shaffer St Ste 2Kalamazoo, MI 49048-1623 · (692) 436-4088

Phone(269) 651-1471

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 6, 2019

Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2023

✔ NPI 1881231090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · F11190701

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.

1717 E CHICAGO RD, Sturgis, MI 49091

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Theresa I Rinehart Fnp-c 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 ID6608204235

PECOS Enrollment IDI20200314000224

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 4

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.

219 services102 patients

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.

173 services108 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

31 services20 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.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Three Rivers Health

Acute Care Hospitals · Three Rivers, MI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number230015

Location701 S Health ParkwayThree Rivers, MI 49093 · St. Joseph County

Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230117

Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49091 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 7

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

BHUMIT PATEL MD

Family Medicine

1717 E CHICAGO RD
STURGIS, MI 49091

St. Joseph County (269) 659-6747

MRS. NANCY JANE HAYLETT

Nurse Practitioner (Family)

1717 E CHICAGO RD, SUITE 2
STURGIS, MI 49091

St. Joseph County (269) 659-1744

STURGIS HOSPITAL, INC.

Clinic/Center (Rural Health)

1717 E CHICAGO RD, SUITE 2
STURGIS, MI 49091

St. Joseph County (269) 651-1471

DR. DANY MAMOU M.D.

Family Medicine

1717 E CHICAGO RD
STURGIS, MI 49091

St. Joseph County (269) 659-6747

ASHISH VERMA M.D.

Internal Medicine

1717 E CHICAGO RD
STURGIS, MI 49091

St. Joseph County (269) 651-4744

MRS. ROBIN D MOFFITT NP-C

Nurse Practitioner (Family)

1717 E CHICAGO RD, SUITE 2
STURGIS, MI 49091

St. Joseph County (269) 651-4744

JACOB LIBBY OTRL

Occupational Therapist

1717 E CHICAGO RD, SUITE 1
STURGIS, MI 49091

St. Joseph County (269) 659-4468

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 Rinehart's NPI number?

The NPI number for Theresa Rinehart is 1881231090. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Where is Theresa Rinehart located?

Theresa Rinehart practices at 1717 E Chicago Rd, Sturgis, MI 49091. The listed phone number is (269) 651-1471.

What is Theresa Rinehart's specialty?

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

Is Theresa Rinehart enrolled in Medicare?

Yes. Theresa Rinehart 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 Rinehart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Theresa Rinehart 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 Rinehart affiliated with any hospitals?

According to CMS data, Theresa Rinehart is affiliated with Three Rivers Health and Borgess Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Rinehart was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.