Individual provider Active NPI

Teresa Jeanne Etter, APRN-CNS

  • Critical Care Medicine Registered Nurse
  • Enid, OK
National Provider Identifier
1598096646
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
R0050268 Issued in OK
Practice address
427 E Cherokee Ave
Enid, OK 73701-5823
Phone
(580) 234-7246
Fax
(580) 233-2223
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X R0050268 OK Primary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 50268 OK

Addresses

Primary practice location

427 E Cherokee Ave
Enid, OK 73701-5823

Mailing address

427 E Cherokee Ave
Enid, OK 73701-5823
Phone (580) 234-7246

Other identifiers 1

IdentifierTypeStateIssuer
200281660AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20100601000763 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 8426187436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enid Pain and Spine LLCGroup PAC ID 6305902271, 3 clinicians

Practice addresses (Care Compare)

427 E Cherokee
Enid, OK 73701
Phone (580) 234-7246

427 E Cherokee Ave
Enid, OK 73701-5823

Hospital & facility affiliations

  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0050268OKMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Enid Pain & Spine LLC CurrentSince Apr 28, 2015 Accepting new patients
Summit Medical Center Past Accepting new patients
Enid Pain and Spine Past Accepting new patients

Locations

427 E Cherokee Ave
Enid, OK 73701
Phone (580) 234-7246

Dept 960356
Oklahoma City, OK 73196

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1598096646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E CHEROKEE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015823",
            "telephone_number": "580-234-7246",
            "fax_number": "580-233-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E CHEROKEE AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015823",
            "telephone_number": "580-234-7246",
            "fax_number": "580-233-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTER",
        "first_name": "TERESA",
        "middle_name": "JEANNE",
        "credential": "APRN-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OK",
            "license": "R0050268",
            "primary": true
        },
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "OK",
            "license": "50268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200281660A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.