Judith Charles Tengco, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11029168 Issued in FL

Practice address

2215 Nebraska Ave Ste 2-E
Fort Pierce, FL 34950-4866

Phone

(772) 461-6812

Fax

(772) 461-6816

NPI assigned

Aug 21, 2023

Reactivated

Nov 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Judith Tengco Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles (3 of 4)

Locations

Networks

• Freedom Health HMO Network

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.

• Ahmad Rashid, M.D. & Babar Shareef, M.D., P.a.

  • Interventional Cardiology Physician
  • Fort Pierce, FL
  • NPI 1730144577

  FL

  Medicare reassignment Care Compare group NPD
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055

  FL

  Medicare reassignment Care Compare group NPD
• Martin Memorial Medical Center Inc

  • Urgent Care Clinic/Center
  • Stuart, FL
  • NPI 1154962918
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Martin Memorial Medical Center Inc 514 clinicians

Ahmad Rashid, M.D. and Babar Shareef, M.D., P.a 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1548044837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 SE LAKEWOOD ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527339",
            "telephone_number": "772-812-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE STE 2-E",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504866",
            "telephone_number": "772-461-6812",
            "fax_number": "772-461-6816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 SE Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349942346",
            "country_code": "US",
            "telephone_number": "772-287-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENGCO",
        "first_name": "JUDITH",
        "middle_name": "CHARLES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "deactivation_date": "2023-10-14",
        "reactivation_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "TENGCO",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phernya Teague
• Jessica Marie Hamilton Tedder, A.R.N.P
• Suely Tedeschi
• Daniel Enrique Tejeda, MD
• Lorenzo Oscar Telleria Jr., MD
• Zafer A Termanini, M.D.
• Alan Ray Tesson, M.D.
• Sarah Lynn Testa, ARNP
• Kathleen Marie Thaxter, PA-C
• The Arc of St. Lucie County, Inc

• All providers in Fort Pierce, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; 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.