Quick answers
- Does Theresa Macdougall accept Medicare assignment?
- Yes. Medicare's clinician data says Theresa Macdougall accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Theresa Macdougall see?
- In 2024, CMS data shows 236 Original Medicare patients and 257 services for Theresa Macdougall. This counts Original Medicare only and measures volume, not quality.
- What is Theresa Macdougall's NPI number?
- 1588804686. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Theresa Macdougall, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 236 |
|---|---|
| Services billed to Medicare | 257 |
| Different services or procedures | 16 |
| Participating Medicare provider | Yes |
| Average age of these patients | 77 |
Most frequent services
- Emergency department visit with high level of medical decision making (99285)121 services
- Emergency department visit with moderate level of medical decision making (99284)89 services
- Emergency department visit with low level of medical decision making (99283)31 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis62%
- Anxiety42%
- Ischemic heart disease39%
- Diabetes36%
Practice locations
Addresses where Theresa Macdougall is enrolled with Medicare (CMS data updated October 2, 2026).
- 100 Kenyon AveWakefield, RI 02879 (401) 782‑8000
Group practices
Medicare enrollment lists Theresa Macdougall as a member of this group (CMS data updated October 2, 2026).
- Emergency Physician Associates of New England PC20 clinicians in the group
Specialties
- Nurse Practitionerprimary
Other nurse practitioners in Wakefield
Clinicians with the same Medicare primary specialty in Wakefield, RI — not a recommendation.
Other clinicians in Emergency Physician Associates of New England PC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | NP |
|---|---|
| Graduation year | 2008 |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1588804686 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians