Ernest Allen Teegarden Jr., CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12213 Issued in MN

Practice address

705 17TH St N
Virginia, MN 55792-2176

Phone

(877) 651-4637

Fax

(877) 651-1381

NPI assigned

Feb 25, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

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.

• Big Stone Therapies Montague LLC

  • Physical Therapy Clinic/Center
  • Montague, MI
  • NPI 1073021093
  NPD (past)
• Legacy Primary Care PLLC

  • Adult Medicine Physician
  • Grand Forks, ND
  • NPI 1265277115

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1407653744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "566280135",
            "telephone_number": "218-743-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 17TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922176",
            "telephone_number": "877-651-4637",
            "fax_number": "877-651-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEGARDEN",
        "first_name": "ERNEST",
        "middle_name": "ALLEN",
        "name_suffix": "Jr.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Tanttu
• Ellen C. Taube, R.PH.
• Lillyana Susan Taylor
• Amy Louise Teasck, RN
• Anthony Ray Teasck, CNP
• Ramesh Kumar Tentu, MBBS
• Christopher M Teter
• The Chestnut Burrow
• The Duluth Clinic, LTD (Essentia Health Virginia Clinic)
• The Duluth Clinic, LTD (Essentia Health Virginia Medical Arts Clinic)

• Family Nurse Practitioner in Virginia, MN
• Providers in Virginia, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.