THERESA A CALLENDER LCSW, PA-C
NPI 1962410860
Physician Assistant in Brunswick, ME

Q: What is Theresa Callender's NPI number?

The NPI number for Theresa Callender is 1962410860. It was assigned to this individual provider in the NPPES registry on August 4, 2006. The provider is also known as Teri Callender Lcsw, Pa-C.

Q: What is Theresa Callender's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: Is Theresa Callender enrolled in Medicare?

No. Theresa Callender has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Theresa Callender was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 04, 2006Opted out of Medicare · through Apr 1, 2027

42.09/100

CMS Quality Rating

11 MEDICAL CENTER DR, BRUNSWICK, ME 04011(207) 373-9417 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2020, Apr 1, 2019 (2 updates tracked since 2019).

On this page

About Theresa A Callender Lcsw, Pa-c NPPES

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

THERESA A CALLENDER LCSW, PA-C (NPI 1962410860) is an individual physician assistant in Brunswick, Maine, licensed in Maine (PA2013) and active in the NPI registry since August 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962410860

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTHERESA A CALLENDERCredential: LCSW, PA-C

Location Address11 MEDICAL CENTER DRBrunswick, ME 04011-3061

Mailing Address11 Medical Center DrBrunswick, ME 04011-3061 · (941) 320-5454

Phone(207) 373-9417

Sole ProprietorNo

Enumeration DateAugust 4, 2006

Last NPPES UpdateJanuary 30, 20202 updates tracked since enumeration

✔ NPI 1962410860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ME · PA2013

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW10945 (FL)

11 MEDICAL CENTER DR, Brunswick, ME 04011

Open in Google Maps ↗

Other Names 1

Other Name (5)Teri Callender Lcsw, Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Theresa A Callender Lcsw, Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

Most-billed visit code 99213

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.

42.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

26.6

Improvement Activities

Cost

57.82

Leave this field empty

Other Providers at the Same Location NPPES 17

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

BARBARA WILLMAN JOHNSON LCSW

Social Worker (Clinical)