Theresa Vergara, AGACNP-BC
NPI 1144870056 · Acute Care Nurse Practitioner · Long Island City, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Vergara, AGACNP-BC is a Acute Care Nurse Practitioner provider in Long Island City, NY (NPI 1144870056).
Provider details
- NPI number
- 1144870056
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 431517 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
89 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 53 | $61 |
| Critical Care, First 30-74 Minutes99291 | 25 | $164 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 11 | $89 |
Typical Medicare-allowed amounts for these services range $61–$164 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 53 | 46 |
| Tirzepatidebrand: Mounjaro | 29 | — |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 29 | 27 |
| Amoxicillin | 26 | 23 |
| Azithromycin | 23 | 21 |
| Fluconazole | 18 | 13 |
| Doxycycline Hyclate | 14 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-13
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Frequently asked questions
- What is Theresa Vergara's NPI number?
- Theresa Vergara's National Provider Identifier (NPI) is 1144870056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Vergara's specialty?
- Theresa Vergara is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Vergara located?
- Theresa Vergara's practice location on file with NPPES is 4428 Purves St Apt 27b, Long Island City, NY 11101-3086.
- What is Theresa Vergara's phone number?
- The practice phone number listed in the NPPES registry for Theresa Vergara is (402) 880-4474.
- Does Theresa Vergara accept Medicare?
- Theresa Vergara is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Vergara's NPI active?
- Yes — Theresa Vergara's NPI (1144870056) is active in the NPPES registry as of the last update on 2022-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.