NPIMap

Individual provider Active NPI

Teresa Krueger, NP

  • Nurse Practitioner
  • Washington, IA
National Provider Identifier
1366940835
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A132057 Issued in IA
Practice address
1230 S. Iowa Ave
Washington, IA 52353-1144
Phone
(319) 653-7291
Fax
(319) 753-0893
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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 A132057 IA Primary

Addresses

Primary practice location

1230 S. Iowa Ave
Washington, IA 52353-1144

Mailing address

P.O. Box 909
Washington, IA 52353-0909
Phone (319) 653-5481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181219001497 IA Practitioner - Nurse Practitioner 5294070272 Reassigns benefits to 1 organization
I20250616000070 IL Practitioner - Nurse Practitioner 5294070272 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proctor Health Systems 131 clinicians
Carle Health Care Incorporated 1,592 clinicians
Methodist Medical Center of Illinois 387 clinicians

Practice addresses (Care Compare)

2127 SW Jefferson Ave
Peoria, IL 61605-3645
Phone (309) 674-4812

5401 N Knoxville Ave
Peoria, IL 61614-5021

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977

Hospital & facility affiliations

  • Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209
  • Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Health Systems CurrentSince Jun 1, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jun 1, 2025 Accepting new patients
Proctor Health Systems CurrentSince Jun 1, 2025 Accepting new patients
Proctor Health Systems Current Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Jan 1, 2025 Accepting new patients
Carle Health Care Incorporated CurrentSince Jan 1, 2026 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Jan 1, 2025 Accepting new patients
Methodist Medical Center of Illinois Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients

Locations

1501 39th St
Fort Madison, IA 52627
Phone (319) 376-1511

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: tkruegeraprn443464@carlehiedirect.net

Organizations & group practices 15

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.

View all 15

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1366940835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 909",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523530909",
            "telephone_number": "319-653-5481",
            "fax_number": "319-753-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S. IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531144",
            "telephone_number": "319-653-7291",
            "fax_number": "319-753-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "TERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A132057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

Verify at the official NPI Registry.