MRS. TERESA M. SAN MATEO P.A.-C
NPI 1982958047
Physician Assistant in Wailuku, HI

Active since October 28, 2012PECOS EnrolledAccepts Medicare Assignment
55 MAUI LANI PKWY, WAILUKU, HI 96793(808) 243-6000 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2025, May 10, 2021 (2 updates tracked since 2021).

About Mrs. Teresa M. San Mateo P.a.-c NPPES

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

MRS. TERESA M. SAN MATEO P.A.-C (NPI 1982958047) is an individual physician assistant in Wailuku, Hawaii, licensed in California (22673) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1982958047
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TERESA M. SAN MATEOCredential: P.A.-C
Location Address55 MAUI LANI PKWYWailuku, HI 96793-2416
Mailing Address1825 4th StSan Francisco, CA 94143-2350
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 28, 2012
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1982958047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 22673
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.
55 MAUI LANI PKWY, Wailuku, HI 96793

Other Names 1

Former Name (1)Ms. Teresa Marsoobian

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. Teresa M. San Mateo P.a.-c 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 ID1557504453
PECOS Enrollment IDI20130824000151
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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96793 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

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.

Family Medicine
55 MAUI LANI PKWY
WAILUKU, HI 96793
Internal Medicine
55 MAUI LANI PKWY
WAILUKU, HI 96793
Social Worker
55 MAUI LANI PKWY
WAILUKU, HI 96793
Social Worker (Clinical)
55 MAUI LANI PKWY
WAILUKU, HI 96793
Internal Medicine
55 MAUI LANI PKWY
WAILUKU, HI 96793
Psychiatry & Neurology (Psychiatry)
55 MAUI LANI PKWY
WAILUKU, HI 96793
Psychologist (Counseling)
55 MAUI LANI PKWY
WAILUKU, HI 96793
Pediatrics
55 MAUI LANI PKWY
WAILUKU, HI 96793

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 Teresa San Mateo's NPI number?

The NPI number for Teresa San Mateo is 1982958047. It was assigned to this individual provider in the NPPES registry on October 28, 2012. The provider is also known as Ms. Teresa Marsoobian.

Where is Teresa San Mateo located?

Teresa San Mateo practices at 55 Maui Lani Pkwy, Wailuku, HI 96793. The listed phone number is (808) 243-6000.

What is Teresa San Mateo's specialty?

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

Is Teresa San Mateo enrolled in Medicare?

Yes. Teresa San Mateo 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.

When was this NPI record last updated?

The NPPES record for Teresa San Mateo was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.