Theresa Calderon, DNP APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25802 Issued in SC

Practice address

115 Overland Dr
Greenwood, SC 29646-4053

Phone

(864) 227-6641

Fax

(864) 227-3953

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Theresa Warner Former name

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health Services of Self Regional Healthcare Home health agency, Greenwood, SC, CCN 427018
• Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tcalderon541697@selfregional.direct-ci.net

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

• Self Medical Group

  • Surgery Physician
  • Greenwood, SC
  • NPI 1982836847

  SC

  Medicare reassignment Care Compare group NPD
• Self Regional Healthcare

  • Family Medicine Physician
  • Greenwood, SC
  • NPI 1326067703

  SC

  Medicare reassignment Care Compare group NPD
• Careconnectmd South Carolina P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Mt Pleasant, SC
  • NPI 1306565973

  SC

  Medicare reassignment NPD
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  Care Compare group NPD
• Self Medical Group

  • Rural Health Clinic/Center
  • Saluda, SC
  • NPI 1184219214
  Care Compare group
• Self Medical Group

  • Neurological Surgery Physician
  • Greenwood, SC
  • NPI 1902277270
  Care Compare group
• Self Regional Healthcare

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1023046612
  Care Compare group
• Self Regional Healthcare

  • Skilled Nursing Facility
  • Abbeville, SC
  • NPI 1083488183
  Care Compare group
• Self Regional Healthcare

  • Rural Health Clinic/Center
  • Ninety Six, SC
  • NPI 1134927767
  Care Compare group
• Self Regional Healthcare

  • Rural Health Clinic/Center
  • Greenwood, SC
  • NPI 1194517557
  Care Compare group
• Self Regional Healthcare

  • Rural Health Clinic/Center
  • Greenwood, SC
  • NPI 1215729744
  Care Compare group
• Self Regional Healthcare

  • Rural Health Clinic/Center
  • Greenwood, SC
  • NPI 1376342626
  Care Compare group

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

• Self Regional Healthcare

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood, SC
  • NPI 1013867498

  Hospital

  Care Compare affiliation
• Self Regional Healthcare

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1023046612

  Hospital

  Care Compare affiliation
• Self Regional Healthcare

  • Home Health Agency
  • Greenwood, SC
  • NPI 1407860778
  Care Compare affiliation
• Self Regional Healthcare

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1407887003

  Hospital

  Care Compare affiliation
• Self Regional Healthcare

  • Pain Medicine (Anesthesiology) Physician
  • Clinton, SC
  • NPI 1720938103

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1083965347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015907",
            "telephone_number": "907-458-6450",
            "fax_number": "907-458-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 OVERLAND DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464053",
            "telephone_number": "864-227-6641",
            "fax_number": "864-227-3953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Cowles St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "99701",
            "country_code": "US",
            "telephone_number": "907-458-6450",
            "fax_number": "907-458-6430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3773 W Main Street Rd",
            "address_2": "Apartment 3",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140209410",
            "country_code": "US",
            "telephone_number": "585-356-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "DNP APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2023-11-06",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "142059",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "WARNER",
            "credential": "LPN; RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Brown Byrd
• Gary Stephen Byrd, BCHIS
• Katrina Byrd
• Kristi Inez Byrd, LISW-CP
• Bibb Randall Cain, MD
• Alicia Nicole Caldwell, M.A., CAC1-P
• Sarah Helen Caldwell
• Chelsi Calhoun
• Nicole Calhoun
• Alicia Marie Callahan, BSN, RN

• All providers in Greenwood, SC
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.