TESHARA PEREZ (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1083165906

TESHARA PEREZ (AGACNP-BC) is a healthcare provider. based in Lubbock, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. AP132271 (TX). The NPI Number for TESHARA PEREZ (AGACNP-BC) is 1083165906

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TESHARA PEREZ (AGACNP-BC)
NPI
1083165906
Phone
(806) 701-4263
Address
4324 23RD ST
Enumeration Date
14 October 2016
Last Update Date
19 June 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8067014263
Graduation Year
2016 (10 years ago)
PAC ID
9739461229
Group Practice PAC ID
6305297763
Professional Enrollment ID
I20240123000113
Address ID
TX794072504LU4321XFWYX400
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

22,204 NURSE PRACTITIONER in TX

Provider Addresses for TESHARA PEREZ (AGACNP-BC)

  • 4324 23RD ST

    LUBBOCK, TX 794101812

    Phone: (806) 701-4263

    Fax: (806) 701-4184

    Type: Mailing

  • 4321 MARSHA SHARP FWY

    LUBBOCK, TX 794072504

    Phone: (806) 686-3500

    Fax: (806) 701-4973

    Type: Location

  • 4802, North Loop 289, North By Northwest, Lubbock, Lubbock County, Texas, 79416, United States

    LUBBOCK, TX 794163025

    Phone:

    Type: Mailing

  • 4316, 23rd Street, Lubbock, Lubbock County, Texas, 79410, United States

    LUBBOCK, TX 79410

    Phone: (806) 701-4316

    Fax: (806) 701-5799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 87 Open Payments records for all available years, with a total value of $1,485.

Total Amount is formed as General ($1,485) + Research ($0) + Ownership ($0) = $1,485.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Medtronic, Inc. ($283).

Total Amount

$1,485

General + Research + Ownership

Payments

87

Total payment records

General Amount

$1,485

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2024-01-23

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
I20240123000113INurse PractitionerTXTBD

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 79410)

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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: 6305297763View full group profile
NameSpecialtyState
Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX

Reviews

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Frequently asked questions

What identifier follows TESHARA PEREZ (AGACNP-BC) across health systems?
The NPI 1083165906 uniquely identifies TESHARA PEREZ (AGACNP-BC) in U.S. healthcare data.
Should I treat TESHARA PEREZ (AGACNP-BC) as an active provider?
Patients and plans typically see TESHARA PEREZ (AGACNP-BC) as active in the national extract.
What type of care does TESHARA PEREZ (AGACNP-BC) provide?
TESHARA PEREZ (AGACNP-BC)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to TESHARA PEREZ (AGACNP-BC)?
TESHARA PEREZ (AGACNP-BC) shows a connection to Lubbock, Texas in registry-derived data.
Why is information missing for TESHARA PEREZ (AGACNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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