Individual provider Active NPI

Jaekar Teah, FNP-BC

  • Family Nurse Practitioner
  • New Castle, IN
National Provider Identifier
1164145298
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013060A Issued in IN
Practice address
1000 Van Nuys Rd
New Castle, IN 47362-9060
Phone
(317) 701-5831
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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 71013060A IN Primary

Addresses

Primary practice location

1000 Van Nuys Rd
New Castle, IN 47362-9060

Mailing address

10917 Gossamer LN
Noblesville, IN 46060-6106
Phone (317) 701-5831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230717000645 IN Practitioner - Nurse Practitioner 4880054311 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10917 Gossamer LN
Noblesville, IN 46060-6106

5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71013060AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Jun 20, 2023 Accepting new patients
Nustar Wound Care Services LLC Family CurrentSince Sep 13, 2025 Accepting new patients
Directed Rehabilitation Services CurrentSince Jul 9, 2025 Accepting new patients
Gentle Care Home Health Services LLC CurrentSince Aug 3, 2025 Accepting new patients
Providence Wound Care Specialists, LLC Family CurrentSince Dec 5, 2025 Accepting new patients
Woundcare Pros Family CurrentSince Sep 13, 2025 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

10312 Allisonville Rd
Fishers, IN 46038
Phone (317) 661-2803

6620 Parkdale Pl
Ste I
Indianapolis, IN 46254
Phone (317) 452-5537

2026 E 54th St
Indianapolis, IN 46220
Phone (317) 253-6950

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

295 Westfield Rd
Noblesville, IN 46060
Phone (317) 773-3760

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1164145298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10917 GOSSAMER LN",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460606106",
            "telephone_number": "317-701-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VAN NUYS RD",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473629060",
            "telephone_number": "317-701-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAH",
        "first_name": "JAEKAR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013060A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.