Teresa Marie Kirchner
Individual provider Active NPI Family Nurse Practitioner · Memphis, MO
NPI 1316486293 · NPPES record last updated Feb 13, 2017
Key facts
- NPI
- 1316486293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2017001660 (MO)
- Practice address
- 450 E Sigler Ave
Ste a
Memphis, MO 63555-1726 - Phone
- (660) 465-2820
- Fax
- (660) 465-2956
- NPI assigned
- Feb 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chugachmiut
Practice addresses (Care Compare)
2035 Seward Hwy
Seward, AK 99664-2088
Phone (907) 224-3490
505 Copper Mountain St
Tatitlek, AK 99677-0134
Phone (907) 325-2235
625 Main St
Chenega, AK 99574-8029
Phone (907) 573-5129
63998 Graham Rd
Unit 3
Port Graham, AK 99603-5530
Phone (907) 284-2241
Hospital & facility affiliations
- South Peninsula Hospital
- Alaska Native Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190722002602 | AK | Practitioner - Nurse Practitioner | 2264700137 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Peninsula Hospital, Inc | Current |
Accepting new patients | |
| Chugachmiut | Current |
Accepting new patients | |
| South Peninsula Hospital, Inc | Current |
Accepting new patients | |
| South Peninsula Hospital, Inc. | Current |
Accepting new patients | |
| Chugachmiut | Current | Accepting new patients | |
| Chugachmiut | Current |
Accepting new patients |
Locations
1840 Bragaw St
Ste 110
Anchorage, AK 99508
Phone (907) 562-4155
4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369
2035 Seward Hwy
Seward, AK 99664
Phone (907) 224-3490
Interoperability endpoints
- tmkirchner@direct.chugachmiut.org
- https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2017001660 | MO | Yes |
Addresses
Primary practice location
450 E Sigler Ave
Ste a
Memphis, MO 63555-1726
Mailing address
450 E Sigler Ave
Ste a
Memphis, MO 63555-1726
Phone (660) 465-2820
Other providers in Memphis, MO
- Stephanie Michelle Henley-Pippert
- Elliott L Hix Jr.
- International Eyecare Center, Inc.
- Robert Wayne Jackson
- Ronald W Keller
- Emmagail Grace Marshall
- Kimberly M McCluskey
- Matt W McKee
- Jennifer McMinn
- Kaitlyn Nicole McMinn
All providers in Memphis, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.