Theresa St Philippe, ARNP
NPI 1306218243 · Nurse Practitioner · Miami, FL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa St Philippe, ARNP is a Nurse Practitioner provider in Miami, FL (NPI 1306218243).
Provider details
- NPI number
- 1306218243
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- License
- APRN9345133 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
10 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
292 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 164 | $87 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 107 | $114 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 21 | $130 |
Typical Medicare-allowed amounts for these services range $87–$130 (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 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 212 | 74 |
| Rosuvastatin Calcium | 180 | 68 |
| Atorvastatin Calcium | 170 | 69 |
| Ezetimibe | 114 | 44 |
| Amlodipine Besylate | 109 | 50 |
| Apixabanbrand: Eliquis | 91 | 28 |
| Lisinopril |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$554 across 10 records (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
- 2015-10-29
- Last updated
- 2023-01-18
- Certified
- 2023-01-18
Frequently asked questions
- What is Theresa St Philippe's NPI number?
- Theresa St Philippe's National Provider Identifier (NPI) is 1306218243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa St Philippe's specialty?
- Theresa St Philippe is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa St Philippe located?
- Theresa St Philippe's practice location on file with NPPES is 1321 Nw 14th St Ste 510, Miami, FL 33125-1659.
- What is Theresa St Philippe's phone number?
- The practice phone number listed in the NPPES registry for Theresa St Philippe is (305) 689-5554.
- Does Theresa St Philippe accept Medicare?
- Theresa St Philippe is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa St Philippe's NPI active?
- Yes — Theresa St Philippe's NPI (1306218243) is active in the NPPES registry as of the last update on 2023-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.