TERESA ROSEBERRY (CNP) – Primary Care Nurse Practitioner, NPI 1740730290

TERESA ROSEBERRY (CNP) is a healthcare provider. based in Lexa, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. A004912 (AR). The NPI Number for TERESA ROSEBERRY (CNP) is 1740730290

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TERESA ROSEBERRY (CNP)
NPI
1740730290
Phone
(501) 269-0972
Address
440 PHILLIPS ROAD 253 LOOP
Enumeration Date
8 October 2016
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013379820
Graduation Year
2016 (10 years ago)
PAC ID
8123309150
Group Practice PAC ID
0547618175
Professional Enrollment ID
I20170105000033
Address ID
AR721044518MA1308XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for TERESA ROSEBERRY (CNP)

  • 440 PHILLIPS ROAD 253 LOOP

    LEXA, AR 723558366

    Phone: (501) 269-0972

    Type: Mailing

  • Helena Regional Medical Center, 1801, Martin Luther King Jr Drive, Helena Crossing, Helena-West Helena, Phillips County, Arkansas, 72342, United States

    HELENA, AR 723428998

    Phone: (870) 816-3890

    Fax: (870) 816-3895

    Type: Location

  • 4501 GLENMERE RD

    NORTH LITTLE ROCK, AR 721167405

    Phone: (501) 269-0972

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Ethicon US, LLC ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$13
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170105000033INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72355)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547618175View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Certified Clinical Nurse Specialist (Cns)AR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Physician AssistantAR
Nurse PractitionerLA
Nurse PractitionerAR
Nurse PractitionerTX

Reviews

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Frequently asked questions

What federal number belongs to TERESA ROSEBERRY (CNP)?
The federal identifier for TERESA ROSEBERRY (CNP) is NPI 1740730290.
Is TERESA ROSEBERRY (CNP) currently active in the NPI registry?
CMS-published data lists TERESA ROSEBERRY (CNP) as an active registrant.
What does TERESA ROSEBERRY (CNP) treat or focus on?
Patients typically see TERESA ROSEBERRY (CNP) under the specialty Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does TERESA ROSEBERRY (CNP) practice in Arkansas?
You will see Lexa, Arkansas on file for TERESA ROSEBERRY (CNP) alongside any extra practice locations.
How can I contact TERESA ROSEBERRY (CNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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