Individual provider Active NPI

Theresa Vergara, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Long Island City, NY
National Provider Identifier
1144870056
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
431517 Issued in NY
Practice address
4428 Purves St Apt 27B
Long Island City, NY 11101-3086
Phone
(402) 880-4474
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 431517 NY Primary

Addresses

Primary practice location

4428 Purves St Apt 27B
Long Island City, NY 11101-3086

Mailing address

4428 Purves St Apt 27B
Long Island City, NY 11101-3086
Phone (646) 498-3829

Other names 1

  • Theresa Pizinger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA, NE, RI, VA, CA, HI, WV8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20211025002331 NY Practitioner - Nurse Practitioner 1052709086 Reassigns benefits to 1 organization
I20220707000522 GA Practitioner - Nurse Practitioner 1052709086 Reassigns benefits to 1 organization
I20221228002573 NE Practitioner - Nurse Practitioner 1052709086 Reassigns benefits to 1 organization
I20230727000423 RI Practitioner - Nurse Practitioner 1052709086
I20230807000336 VA Practitioner - Nurse Practitioner 1052709086
I20230831004814 CA Practitioner - Nurse Practitioner 1052709086 Reassigns benefits to 1 organization
I20230901002020 HI Practitioner - Nurse Practitioner 1052709086
I20230913000231 WV Practitioner - Nurse Practitioner 1052709086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

4014 Leavenworth St
Omaha, NE 68105-1053
Phone (402) 552-7928

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Oct 1, 2021 Accepting new patients
Openloop Healthcare Partners California PC Current Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Jul 19, 2023 Accepting new patients
Unmc Physicians CurrentSince Dec 1, 2022 Accepting new patients
Openloop Healthcare Partners Colorado, PC CurrentSince Jul 19, 2023 Accepting new patients
Lifemd Southern Patient Medical Care PC Past Accepting new patients
Puopolo MD PC Past Accepting new patients
Lifemd Atlantic Patient Medical Care PC Past Accepting new patients

Locations

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

2850 Springdale Rd SW
Atlanta, GA 30315
Phone (404) 616-8100

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

Interoperability endpoints

  • Direct secure messaging: theresa.pizinger@337577483108356.direct.elationemr.com
  • Direct secure messaging: tvergara418789@direct.nebraskamed.com

Organizations & group practices 9

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.

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1144870056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 PURVES ST APT 27B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013086",
            "telephone_number": "646-498-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 PURVES ST APT 27B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013086",
            "telephone_number": "402-880-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "THERESA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "PIZINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.