Individual provider Active NPI

Sheila K Teiken, APRN,CNP

  • Family Nurse Practitioner
  • Fosston, MN
National Provider Identifier
1124730726
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9868 Issued in MN
Practice address
111 2ND St NE
Fosston, MN 56542-1301
Phone
(218) 435-1111
Fax
(218) 435-1112
NPI assigned
Dec 15, 2022
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9868 MN Primary
Registered Nurse 163W00000X 2465964 MN

Addresses

Primary practice location

111 2ND St NE
Fosston, MN 56542-1301

Mailing address

111 2ND St NE
Fosston, MN 56542-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126001952 MN Practitioner - Nurse Practitioner 4880065093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Headwaters Health PCGroup PAC ID 0143718304, 10 clinicians
First Care Medical ServicesGroup PAC ID 3678542842, shared by 6 NPIs, 22 clinicians

Practice addresses (Care Compare)

111 2ND St NE
Fosston, MN 56542-1301
Phone (218) 435-1111

121 Central St W
Bagley, MN 56621-4393
Phone (218) 694-6281

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2465964MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Headwaters Health PC CurrentSince Sep 2, 2025 Accepting new patients

Locations

111 2nd St NE
Fosston, MN 56542
Phone (218) 435-1010

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1124730726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 2ND ST NE",
            "city": "FOSSTON",
            "state": "MN",
            "postal_code": "565421301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 2ND ST NE",
            "city": "FOSSTON",
            "state": "MN",
            "postal_code": "565421301",
            "telephone_number": "218-435-1111",
            "fax_number": "218-435-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIKEN",
        "first_name": "SHEILA",
        "middle_name": "K",
        "credential": "APRN,CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9868",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2465964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fosston, MN

Sources for this page

Verify at the official NPI Registry.