Teresa Anne Antalek, FNP
Individual provider Active NPI Family Nurse Practitioner · Endwell, NY
NPI 1457790370 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1457790370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 337993 (NY)
- Practice address
- 415 Hooper Rd
Endwell, NY 13760-3698 - Phone
- (607) 754-3863
- Fax
- (607) 754-5697
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Endwell Family Physicians LLP
Practice addresses (Care Compare)
415 Hooper Rd
Endwell, NY 13760-3646
Phone (607) 754-3863
Hospital & facility affiliations
- United Health Services Hospitals, Inc
- Our Lady of Lourdes Memorial Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.22 of 100
- Quality
- 78.62
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.76
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140320000937 | NY | Practitioner - Nurse Practitioner | 1557592383 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Interoperability endpoints
- tantalek@efp.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 337993 | NY | Yes |
Addresses
Primary practice location
415 Hooper Rd
Endwell, NY 13760-3698
Mailing address
415 Hooper Rd
Endwell, NY 13760-3698
Phone (607) 754-3863
Other names
- Teresa Michalovic
Other providers in Endwell, NY
- Apria Healthcare LLC
- Apria Healthcare of New York State, Inc.
- Audiology Services Company USA, LLC
- Barnett Chiropractic PLLC
- Patrick Daniel Barnett
All providers in Endwell, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.