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THERESA ROURKE CRNP
NPI 1912309162
Nurse Practitioner - Adult Health in Langhorne, PA

Active since September 18, 2014PECOS EnrolledAccepts Medicare Assignment
1205 LANGHRN NWTWN RD STE 403, LANGHORNE, PA 19047(215) 710-4460(215) 710-4465 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2018, Sep 21, 2016 (2 updates tracked since 2016).

About Theresa Rourke Crnp NPPES

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

THERESA ROURKE CRNP (NPI 1912309162) is an individual adult health provider in Langhorne, Pennsylvania, licensed in Pennsylvania (SP014124) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912309162
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTHERESA ROURKECredential: CRNP
Location Address1205 LANGHRN NWTWN RD STE 403Langhorne, PA 19047
Mailing Address41 University Dr Ste 300Newtown, PA 18940-1873 · (215) 710-7037 · Fax (215) 710-5181
Phone(215) 710-4460
Fax(215) 710-4465
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 18, 2014
Last NPPES UpdateAugust 13, 20182 updates tracked since enumeration
✔ NPI 1912309162 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 PA · SP014124
1205 LANGHRN NWTWN RD STE 403, Langhorne, PA 19047
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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 Health, Ambetter Health of Delaware.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 Rourke Crnp 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 ID5496045254
PECOS Enrollment IDI20170803001815
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.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19047 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

JOHN MUELLER DO
Hospitalist
1205 LANGHRN NWTWN RD STE 403
LANGHORNE, PA 19047
Bucks County (215) 710-4460
UMANG PATEL D.O.
Hospitalist
1205 LANGHRN NWTWN RD STE 403
LANGHORNE, PA 19047
Bucks County (215) 710-4460
DR. RICARDO BENROS PROENCA M.D.
Hospitalist
1205 LANGHRN NWTWN RD STE 403
LANGHORNE, PA 19047
Bucks County (215) 710-4460

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 Rourke's NPI number?

The NPI number for Theresa Rourke is 1912309162. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Where is Theresa Rourke located?

Theresa Rourke practices at 1205 Langhrn Nwtwn Rd Ste 403, Langhorne, PA 19047. The listed phone number is (215) 710-4460.

What is Theresa Rourke's specialty?

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

Is Theresa Rourke enrolled in Medicare?

Yes. Theresa Rourke 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 Rourke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Theresa Rourke 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 Rourke affiliated with any hospitals?

According to CMS data, Theresa Rourke is affiliated with St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Rourke was last updated on August 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.