Individual provider Active NPI

Morgan Teston, FNP-C

  • Family Nurse Practitioner
  • Bloomington, IL
National Provider Identifier
1326767690
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.025432 Issued in IL
Practice address
508 Iaa Dr
Bloomington, IL 61701-2216
Phone
(309) 451-2080
Fax
(309) 451-2081
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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 209.025432 IL Primary

Addresses

Primary practice location

508 Iaa Dr
Bloomington, IL 61701-2216

Mailing address

2909 Breezewood Blvd
Bloomington, IL 61704-9337
Phone (615) 457-4687

Other practice location 1

2909 Breezewood Blvd
Bloomington, IL 61704-9337
Phone (615) 457-4687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230714001618 IL Practitioner - Nurse Practitioner 1951761501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.025432ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Aug 20, 2023 Accepting new patients

Locations

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1326767690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 BREEZEWOOD BLVD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617049337",
            "telephone_number": "615-457-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 IAA DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012216",
            "telephone_number": "309-451-2080",
            "fax_number": "309-451-2081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2909 Breezewood Blvd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617049337",
            "country_code": "US",
            "telephone_number": "615-457-4687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESTON",
        "first_name": "MORGAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-04-18",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.025432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.