Teresa Gentry, APRN, C-NP, CWON

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

70008 Issued in OK

Practice address

2500 Canyon Rd Ste 3
Bullhead City, AZ 86442-8624

Phone

(928) 444-1454

Fax

(928) 444-1481

NPI assigned

May 19, 2019

Last updated

Oct 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ, NV2 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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HRMC, LLCGroup PAC ID 3072641265, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117
• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4
• Direct secure messaging: tgentry@direct-address.org

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.

• HRMC, LLC

  dba Cancer Care of Western Arizona

  • Hematology & Oncology Physician
  • Lake Havasu City, AZ
  • NPI 1003139387
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NV

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ

  Medicare reassignment NPD
• HRMC, LLC

  dba Specialty Associates

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1447630538
  NPD
• HRMC, LLC

  dba Urgent Care of HRMC

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1932610482
  NPD
• Havasu Regional Medical Center LLC

  dba Havasu Regional Medical Center

  • Skilled Nursing Facility
  • Lake Havasu City, AZ
  • NPI 1093154130
  NPD (past)

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

• Bullhead City Hospital Corporation

  dba Western Arizona Regional Medical Center

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  Care Compare affiliation
• Bullhead City Hospital Corporation

  dba Fox Creek Urgent Care

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation
• Havasu Regional Medical Center LLC

  dba Havasu Regional Medical Center

  • Rural Acute Care Hospital
  • Lake Havasu City, AZ
  • NPI 1780761866
  Care Compare affiliation
• PHC-Fort Mohave Inc

  dba Valley View Medical Center

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994
  Care Compare affiliation

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1477119048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD STE 3",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428624",
            "telephone_number": "928-444-1454",
            "fax_number": "928-444-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD STE 3",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428624",
            "telephone_number": "928-444-1454",
            "fax_number": "928-444-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "TERESA",
        "credential": "APRN, C-NP, CWON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2020-10-21",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "70008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgentry@directaddress.org",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "2500 Canyon Rd Ste 3",
            "city": "Bullhead City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864428624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frank Nelson, DDS, PC (Thunder Mountain Dentistry)
• Karlee Danielle Fullmer
• Mahender Gaba, M.D.
• Genesis Health, LLC (Raya Primary Care)
• Genoa Healthcare LLC
• Gerihealth LLC
• German Dobson CVS LLC (CVS Pharmacy #17432)
• Toni Giangregorio
• Gavin Gigstad
• Mayte Idelle Giubardo, LCSW

• Adult Health Nurse Practitioner in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.