Individual provider Active NPI

Teresa Ficken, APRN, FNP-BC

  • Nurse Practitioner
  • Sedalia, MO
National Provider Identifier
1235614454
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018034589 Issued in MO
Practice address
3700 W 10TH St Ste 300
Sedalia, MO 65301-2540
Phone
(660) 826-5226
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2018034589 MO Primary

Addresses

Primary practice location

3700 W 10TH St Ste 300
Sedalia, MO 65301-2540

Mailing address

601 E 14TH St
Sedalia, MO 65301-5972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20181119002934 MO Practitioner - Nurse Practitioner 0840544383 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of Mo LLCGroup PAC ID 1951766559, 85 clinicians
Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

Practice addresses (Care Compare)

1600 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-8171

2100 SE Blue Pkwy
Lee'S Summit Medical Center
Lee'S Summit, MO 64063-1007
Phone (816) 282-5000

3700 W 10TH St
Sedalia, MO 65301-2540
Phone (660) 826-5226

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018034589MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Mo, LLC CurrentSince May 25, 2024 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Feb 27, 2025 Accepting new patients
Golden Valley Memorial Hospital District Current Accepting new patients
Bothwell Regional Health Center CurrentSince Aug 1, 2023 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Feb 27, 2025 Accepting new patients
Bothwell Regional Health Center CurrentSince Aug 1, 2023 Accepting new patients

Locations

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

3700 W 10th St
Ste 300
Sedalia, MO 65301
Phone (660) 826-5226

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

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.

Hospital & facility affiliations 3

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1235614454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 14TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 10TH ST STE 300",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012540",
            "telephone_number": "660-826-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKEN",
        "first_name": "TERESA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018034589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.