Individual provider Active NPI

Shannon Marie Teszler, FNP-C

  • Family Nurse Practitioner
  • Ashland, OR
National Provider Identifier
1306570452
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202210103NP-PP Issued in OR
Practice address
280 Maple St
Ashland, OR 97520-1552
Phone
(541) 201-4100
NPI assigned
Jul 14, 2022
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 202210103NP-PP OR Primary

Addresses

Primary practice location

280 Maple St
Ashland, OR 97520-1552

Mailing address

280 Maple St
Ashland, OR 97520-1552
Phone (541) 201-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20221004001549 OR Practitioner - Nurse Practitioner 0749666444 Reassigns benefits to 3 organizations

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
Valley Immediate Care, LLCGroup PAC ID 7618876723, 36 clinicians

Practice addresses (Care Compare)

1600 Delta Waters Rd
Suite 107
Medford, OR 97504-9114
Phone (541) 858-2515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202210103NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Oct 1, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Oct 1, 2023 Accepting new patients
Asante Ashland Community Hospital, LLC CurrentSince Sep 10, 2022 Accepting new patients
Valley Immediate Care, LLC CurrentSince Nov 1, 2022 Accepting new patients
Valley Immediate Care, LLC Past Accepting new patients

Locations

1401 Siskiyou Blvd
Ste 1
Ashland, OR 97520
Phone (541) 734-9030

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

10586 Highway 62
Ste A
Eagle Point, OR 97524
Phone (541) 613-2733

100 E Main St
Ste C
Medford, OR 97501
Phone (541) 789-5526

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

1600 Delta Waters Rd
Ste 107
Medford, OR 97504
Phone (541) 858-2515

1700 E Barnett Rd
Medford, OR 97504
Phone (541) 414-0790

815 N Central Ave
Ste C
Medford, OR 97501
Phone (541) 734-9030

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1306570452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MAPLE ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201552",
            "telephone_number": "541-201-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAPLE ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201552",
            "telephone_number": "541-201-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESZLER",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202210103NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.