THERESA FANASCH MSN, APRN, FNP-C
NPI 1952065310
Nurse Practitioner - Primary Care in San Antonio, TX

Q: What is Theresa Fanasch's NPI number?

The NPI number for Theresa Fanasch is 1952065310. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Q: What is Theresa Fanasch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Fanasch was last updated on October 22, 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.

Active since October 22, 2021PECOS Enrolled

63 CHAMPIONS RUN, SAN ANTONIO, TX 78258(409) 554-2645 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Theresa Fanasch Msn, Aprn, Fnp-c NPPES

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

THERESA FANASCH MSN, APRN, FNP-C (NPI 1952065310) is an individual primary care provider in San Antonio, Texas, licensed in Texas (1057198) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952065310

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameTHERESA FANASCHCredential: MSN, APRN, FNP-C

Location Address63 CHAMPIONS RUNSan Antonio, TX 78258-7703

Mailing Address63 Champions RunSan Antonio, TX 78258-7703 · (409) 554-2645

Phone(409) 554-2645

Sole ProprietorNo

Enumeration DateOctober 22, 2021

NPPES CertifiedOctober 22, 2021

✔ NPI 1952065310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in TX · 1057198

63 CHAMPIONS RUN, San Antonio, TX 78258

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Fanasch Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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 Fanasch's NPI number?

The NPI number for Theresa Fanasch is 1952065310. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Where is Theresa Fanasch located?

Theresa Fanasch practices at 63 Champions Run, San Antonio, TX 78258. The listed phone number is (409) 554-2645.

What is Theresa Fanasch's specialty?

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

Is Theresa Fanasch enrolled in Medicare?

Yes. Theresa Fanasch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Fanasch was last updated on October 22, 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.