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MRS. THERESA M COLE FNP-BC
NPI 1922357318
Nurse Practitioner - Family in Fairfield, OH

Active since August 31, 2012PECOS EnrolledAccepts Medicare Assignment
3050 MACK RD, STE 200, FAIRFIELD, OH 45014(513) 702-0976 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 15, 2021, Mar 27, 2017 (2 updates tracked since 2017).

About Mrs. Theresa M Cole Fnp-bc NPPES

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

MRS. THERESA M COLE FNP-BC (NPI 1922357318) is an individual family provider in Fairfield, Ohio, licensed in Ohio (COA-13701-NP) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1922357318
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. THERESA M COLECredential: FNP-BC
Location Address3050 MACK RD, STE 200Fairfield, OH 45014-5375
Mailing Address3050 Mack Rd, Ste 200Fairfield, OH 45014-5375 · (513) 702-0976
Phone(513) 702-0976
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 31, 2012
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1922357318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA-13701-NP
3050 MACK RD, Fairfield, OH 45014
Open in Google Maps ↗

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

Mrs. Theresa M Cole 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 ID8224286901
PECOS Enrollment IDI20120921000483
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 10

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.
66 services53 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
38 services21 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
33 services22 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
28 services13 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
23 services16 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
20 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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 20

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

JANET C BOHNE RD
Dietitian, Registered
3050 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 557-7718
MRS. EMILY MARIE SILLIES RD, LD
Dietitian, Registered
3050 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 682-6980
TERA L DIPUCCIO RD
Dietitian, Registered
3050 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 557-7718
KELLY M. PITZER PA
Physician Assistant (Surgical)
3050 MACK RD, SUITE 200
FAIRFIELD, OH 45014
Butler County (513) 924-8915
DR. PAULA F WEISENBERGER MD
Internal Medicine (Hematology & Oncology)
3050 MACK RD, STE 300
FAIRFIELD, OH 45014
Butler County (513) 682-4800
MS. SARAH ELIZABETH HILLE OTR/L
Occupational Therapist (Pediatrics)
3050 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 636-6406
HALEY SCHLOTTMANN
Nurse Practitioner
3050 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 636-6400
JENNIFER HARDIE MD
Pediatrics
3050 MACK RD, ML 11032
FAIRFIELD, OH 45014
Butler County (513) 636-8259

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 Cole's NPI number?

The NPI number for Theresa Cole is 1922357318. It was assigned to this individual provider in the NPPES registry on August 31, 2012.

Where is Theresa Cole located?

Theresa Cole practices at 3050 Mack Rd Ste 200, Fairfield, OH 45014. The listed phone number is (513) 702-0976.

What is Theresa Cole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Cole enrolled in Medicare?

Yes. Theresa Cole 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 Cole accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Theresa Cole 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 Cole affiliated with any hospitals?

According to CMS data, Theresa Cole is affiliated with Mercy Health-Anderson Hospital, The Jewish Hospital-Mercy Health, Mercy Health - Fairfield Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Cole was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.