TERESA LE (FNP-C) – Family Nurse Practitioner, NPI 1780475244

TERESA LE (FNP-C) is a healthcare provider. based in St petersburg, Florida. specializing in PHYSICAL MEDICINE AND REHABILITATION, GENERAL PRACTICE. They hold the professional credentials FNP-C. They hold a License No. TPAN4309 (FL). The NPI Number for TERESA LE (FNP-C) is 1780475244

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
TERESA LE (FNP-C)
NPI
1780475244
Phone
(602) 699-4208
Address
7901 4th St N Ste 300
Enumeration Date
14 May 2025
Last Update Date
20 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6235841726
Graduation Year
2025 (1 year ago)
PAC ID
2567952021
Group Practice PAC ID
2365882958
Professional Enrollment ID
I20251104003329
Address ID
AZ853754483SU13603SOLX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:1State licenses:3Digital endpointsOther names

833 PHYSICAL MEDICINE AND REHABILITATION in FL

Provider Addresses for TERESA LE (FNP-C)

  • 7901 4th St N Ste 300

    St Petersburg, FL 337024399

    Phone: (602) 699-4208

    Type: Location

  • 5350 N 16TH ST STE 102

    PHOENIX, AZ 850163213

    Phone: (602) 699-4208

    Fax: (602) 699-4209

    Type: Mailing

  • 211 E 11th St Ste 202

    Vancouver, WA 986603248

    Phone: (602) 755-3399

    Type: Location

  • 1375 N Litchfield Rd Ste 103

    Goodyear, AZ 853951614

    Phone: (623) 213-8996

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-11-04

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
I20251104003329IPhysical Medicine And RehabilitationAZTBD

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 33702)

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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: 2365882958View full group profile
NameSpecialtyState
C H I R O P R A C T I CAZ
Nurse PractitionerAZ
Nurse PractitionerWA

Reviews

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Frequently asked questions

Where can patients find TERESA LE (FNP-C)'s NPI?
You can confirm TERESA LE (FNP-C) with NPI 1780475244; it appears in the national provider directory.
Is TERESA LE (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize TERESA LE (FNP-C)'s specialty in plain language?
Clinically, the directory lists TERESA LE (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for TERESA LE (FNP-C)?
The page summarizes St Petersburg, Florida for TERESA LE (FNP-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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