Individual provider Active NPI

Teresina Jensen

  • Medical Physician Assistant
  • Wilmington, DE
National Provider Identifier
1760140982
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C5-0011794 Issued in DE
Practice address
2000 Foulk Rd Ste a
Wilmington, DE 19810-3642
Phone
(302) 475-8000
NPI assigned
Dec 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA063089 PA
Medical Physician Assistant 363AM0700X C5-0011794 DE Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

2000 Foulk Rd Ste a
Wilmington, DE 19810-3642

Mailing address

2000 Foulk Rd Ste a
Wilmington, DE 19810-3642
Phone (302) 540-4536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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

Enrollment IDStateProvider typePAC IDDetails
I20220202002019 PA Practitioner - Physician Assistant 5496148066 Reassigns benefits to 2 organizations
I20230612001247 DE Practitioner - Physician Assistant 5496148066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA063089PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Urgent Care LLC CurrentSince Apr 20, 2025 Accepting new patients
Fanny J Berg M.D.,P.a. PastSince Nov 19, 2023 Accepting new patients
Chester Springs Family Practice, LLC PastSince Jun 14, 2009 Accepting new patients
Drew McCausland MD. LTD. PastSince Apr 21, 2010 Accepting new patients

Locations

507 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 243-9117

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1638662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1760140982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FOULK RD STE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103642",
            "telephone_number": "302-540-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOULK RD STE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103642",
            "telephone_number": "302-475-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TERESINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-05",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA063089",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0011794",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.