Active NPI
Theresa Vergara, AGACNP-BC
- Acute Care Nurse Practitioner
- Long Island City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 431517
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GA, NE, RI, VA, CA, HI, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
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
Practice addresses (Care Compare)
4014 Leavenworth St
Omaha, NE 68105-1053
Phone (402) 552-7928
Hospital & facility affiliations
- The Nebraska Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Director Services PC | Current | Accepting new patients | |
| Openloop Healthcare Partners California PC | Current | Accepting new patients | |
| Openloop Healthcare Partners California PC | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Openloop Healthcare Partners Colorado, PC | Current | 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
- theresa.pizinger@337577483108356.direct.elationemr.com
- 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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
GA, NY
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
-
- Plastic and Reconstructive Surgery Physician
- Los Angeles, CA
- NPI 1598418063
-
- General Practice Physician
- Denver, CO
- NPI 1912678012
-
- Clinic/Center
- Hoboken, NJ
- NPI 1164100657
-
- Clinic/Center
- Orlando, FL
- NPI 1417635921
-
- Clinic/Center
- Los Angeles, CA
- NPI 1477230928
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.