Individual provider Active NPI

Teresa Trabert, NP

  • Gerontology Nurse Practitioner
  • Paris, TX
National Provider Identifier
1013375856
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1140962 Issued in TX
Practice address
3550 NE Loop 286
Paris, TX 75460-5004
Phone
(903) 785-0031
Fax
(903) 784-6755
NPI assigned
Feb 8, 2016
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0992184-NP CO
Gerontology Nurse Practitioner 363LG0600X 1140962 TX Primary

Addresses

Primary practice location

3550 NE Loop 286
Paris, TX 75460-5004

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160311000171 CO Practitioner - Nurse Practitioner 6608172010 Reassigns benefits to 1 organization
I20240213003498 TX Practitioner - Nurse Practitioner 6608172010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

3550 NE Loop
Suite 286
Paris, TX 75460-5004
Phone (903) 785-0031

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1140962TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Feb 29, 2016 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 29, 2016 Accepting new patients
Texas Oncology PA CurrentSince Jan 15, 2024 Accepting new patients
Texas Oncology PA CurrentSince Jan 15, 2024 Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

4211 Joe Ramsey Blvd E
Ste 108
Greenville, TX 75401
Phone (469) 800-3400

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3550 NE Loop 286
Paris, TX 75460
Phone (903) 785-0031

Interoperability endpoints

  • Direct secure messaging: teresa.trabert@txo.ikm.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1013375856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605004",
            "telephone_number": "903-785-0031",
            "fax_number": "903-784-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABERT",
        "first_name": "TERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0992184-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1140962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.