Individual provider Active NPI

Teresa Kay Guernsey, NP-C

  • Nurse Practitioner
  • Seymour, IN
National Provider Identifier
1619629029
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28098678A Issued in IN
Practice address
1130 Medical PL
Seymour, IN 47274-2640
Phone
(812) 519-1552
Fax
(812) 519-1774
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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 28098678A IN Primary

Addresses

Primary practice location

1130 Medical PL
Seymour, IN 47274-2640

Mailing address

1130 Medical PL
Seymour, IN 47274-2640
Phone (812) 519-1552

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427002622 IN Practitioner - Nurse Practitioner 9335536028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1130 Medical PL
Seymour, IN 47274-2640
Phone (812) 519-1552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients

Locations

1001 N Grant St
Lebanon, IN 46052
Phone (765) 482-6400

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

1130 Medical Pl
Seymour, IN 47274
Phone (812) 519-1552

Organizations & group practices 2

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": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1619629029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MEDICAL PL",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742640",
            "telephone_number": "812-519-1552",
            "fax_number": "812-519-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MEDICAL PL",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742640",
            "telephone_number": "812-519-1552",
            "fax_number": "812-519-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERNSEY",
        "first_name": "TERESA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28098678A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.