Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa Marie Clearwater, FNP

Individual provider Family Nurse Practitioner · NPI 1104207893

Theresa Marie Clearwater, FNP is a Nurse Practitioner in Newburgh, New York. Qualified in 2015, 11 years ago. Practices with Crystal Run Healthcare Physicians LLP, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1200 Route 300
Newburgh, NY 12550-5003
Phone: (845) 703-6999
Fax: (845) 703-6297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F339710-1 (NY)

Record details

NPI number1104207893
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 18, 2015
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Crystal Run Healthcare Physicians Llp — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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