Active NPI
Kristin A Teter, NP
- Adult Health Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 71000094A
- Practice address
- 3834 S Emerson Ave
Building C, Suite 100
Indianapolis, IN 46203 - Phone
- (317) 782-1577
- Fax
- (317) 780-5539
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28078633 | IN | |
| Adult Health Nurse Practitioner | 363LA2200X | 71000094A | IN | Primary |
Addresses
Primary practice location
3834 S Emerson Ave
Building C, Suite 100
Indianapolis, IN 46203
Mailing address
PO Box 3299
Carson City, NV 89702-3299
Phone (775) 222-0044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200189700A | Medicaid | IN | |
| 500005033 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1101 E Coolspring Ave
Michigan City, IN 46360-6310
Phone (877) 883-9430
2350 Taft St
Gary, IN 46404-3349
Phone (219) 977-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28078633 | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Healthcare Associates LLP | Nurse Practitioner | Current | Accepting new patients |
| Altea Medical Indiana PC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
524 Anderson Rd
Chesterfield, IN 46017
Phone (765) 378-0213
2300 Parkview Ln
Elwood, IN 46036
Phone (765) 203-2672
2350 Taft St
Gary, IN 46404
Phone (219) 944-2677
3834 S Emerson Ave
Ste C
Indianapolis, IN 46203
Phone (317) 782-1577
5150 Shelbyville Rd
Indianapolis, IN 46237
Phone (317) 782-1577
3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667
1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211
Organizations & group practices 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Gary, IN
- NPI 1992584783
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IN
-
- Geriatric Medicine (Internal Medicine) Physician
- Elwood, IN
- NPI 1841225091
Nurse Practitioner
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1437140381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3299",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897023299",
"telephone_number": "775-222-0044",
"fax_number": "888-700-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3834 S EMERSON AVE",
"address_2": "BUILDING C, SUITE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46203",
"telephone_number": "317-782-1577",
"fax_number": "317-780-5539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TETER",
"first_name": "KRISTIN",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28078633",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71000094A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200189700A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500005033",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.