THERESA VIDRINE FNP
NPI 1962820449
Nurse Practitioner - Family in Cypress, TX

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
12310 SHORE LANDS RD, CYPRESS, TX 77433(217) 653-4818 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Theresa Vidrine Fnp NPPES

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

THERESA VIDRINE FNP (NPI 1962820449) is an individual family provider in Cypress, Texas, licensed in Texas (847232) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962820449
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA VIDRINECredential: FNP
Location Address12310 SHORE LANDS RDCypress, TX 77433-2627
Mailing Address12310 Shore Lands RdCypress, TX 77433-2627
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 2, 2014
Last NPPES UpdateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
✔ NPI 1962820449 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 TX · 847232
12310 SHORE LANDS RD, Cypress, TX 77433

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Vidrine Fnp 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 ID5193941250
PECOS Enrollment IDI20140725000257
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Theresa Vidrine reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
8100 HIGHWAY 6 N STE E
Houston, TX 77095
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Nluc PLLC
  • 379 clinicians in this Medicare group
Emergency Medicine
929 GESSNER RD STE 2700
Houston, TX 77024
  • Reassigned Medicare billing, Texas enrollment
  • 408 clinicians in this Medicare group
Urgent Care
8325 BROADWAY ST STE 220
Pearland, TX 77581
  • Reassigned Medicare billing, Texas enrollment
  • 301 clinicians in this Medicare group
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77433 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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

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

Student in an Organized Health Care Education/Training Program
12310 SHORE LANDS RD
CYPRESS, TX 77433

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 Vidrine's NPI number?

The NPI number for Theresa Vidrine is 1962820449. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Theresa Vidrine located?

Theresa Vidrine practices at 12310 Shore Lands Rd, Cypress, TX 77433. The listed phone number is (217) 653-4818.

What is Theresa Vidrine's specialty?

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

Is Theresa Vidrine enrolled in Medicare?

Yes. Theresa Vidrine 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.

Which organizations bill Medicare for Theresa Vidrine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Vidrine reassigns Medicare benefits to 4 organizations: Nluc PLLC Dba Next Level Urgent Care (Houston, TX), Memorial Hermann Hospital Based Physician Group (Houston, TX), Next Level Mv LLC (Pearland, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Vidrine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Vidrine accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Theresa Vidrine 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.

When was this NPI record last updated?

The NPPES record for Theresa Vidrine was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.