NPIMap

Individual provider Active NPI

Teclaire Mindiga Ntui-Ayuk, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Branson, MO
National Provider Identifier
1114569928
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018043670 Issued in MO
Practice address
448 State Highway 248 Ste 140
Branson, MO 65616-3725
Phone
(417) 337-9808
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2018043670 MO Primary

Addresses

Primary practice location

448 State Highway 248 Ste 140
Branson, MO 65616-3725

Mailing address

448 State Highway 248 Ste 140
Branson, MO 65616-3725
Phone (417) 337-9808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200220002452 MO Practitioner - Nurse Practitioner 6800223439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

448 State Hwy 248
Suite 140
Branson, MO 65616-3725
Phone (417) 337-9808

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Family CurrentSince Mar 2, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Mar 2, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Mar 2, 2020 Accepting new patients

Locations

448 State Highway 248
Ste 140
Branson, MO 65616
Phone (417) 337-9808

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: tntuiayuk1048980@directc.mercy.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1114569928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 STATE HIGHWAY 248 STE 140",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163725",
            "telephone_number": "417-337-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 STATE HIGHWAY 248 STE 140",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163725",
            "telephone_number": "417-337-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTUI-AYUK",
        "first_name": "TECLAIRE",
        "middle_name": "MINDIGA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018043670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.