Individual provider Active NPI

Teresa Hegwood, FNP-BC

  • Registered Nurse
  • Dearborn, MI
National Provider Identifier
1366802399
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
848359 Issued in TX
Practice address
5901 Chase Rd Ste 210
Dearborn, MI 48126-0900
Phone
(832) 869-4818
Fax
(832) 241-2902
NPI assigned
Mar 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 848359 TX Primary
Registered Nurse 163W00000X 4704302567 MI
Nurse Practitioner 363L00000X 4704302567 MI
Family Nurse Practitioner 363LF0000X 71014488A IN

Addresses

Primary practice location

5901 Chase Rd Ste 210
Dearborn, MI 48126-0900

Mailing address

393 Roosevelt Ave E
Battle Creek, MI 49017-3333
Phone (269) 215-1253

Other practice location 1

6527 Westchester St
Portage, MI 49024-3260
Phone (269) 552-4428

Other practice location 2

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone (832) 869-4818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230712001179 MI Practitioner - Nurse Practitioner 7012377831 Reassigns benefits to 3 organizations
I20241101001108 TX Practitioner - Nurse Practitioner 7012377831 Reassigns benefits to 2 organizations
I20250505002111 IN Practitioner - Nurse Practitioner 7012377831 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
848359TXMDRegistered Nurse
4704302567MIMDNurse Practitioner
71014488AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Family CurrentSince Oct 21, 2024 Accepting new patients
Psychplus Medical Associates, PLLC Nurse Practitioner CurrentSince Nov 25, 2024 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince May 21, 2023 Accepting new patients
Michigan Family Medicine and Urgent Care CurrentSince Mar 31, 2024 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC Family CurrentSince Oct 1, 2024 Accepting new patients

Locations

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

6531 W Michigan Ave
#C
Jackson, MI 49201
Phone (517) 750-3822

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 5

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": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1366802399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 ROOSEVELT AVE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173333",
            "telephone_number": "269-215-1253",
            "fax_number": "577-733-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 CHASE RD STE 210",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481260900",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6527 Westchester St",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490243260",
            "country_code": "US",
            "telephone_number": "269-552-4428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7877 Willow Chase Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770705934",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEGWOOD",
        "first_name": "TERESA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "848359",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704302567",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704302567",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014488A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.