Active NPI
Angela Nicole Teague, APRN
- Family Nurse Practitioner
- Harrison, AR
National Provider Identifier
1639726862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 120823
- Practice address
- 1002 North Spring St
Harrison, AR 72601-2918 - Phone
- (870) 741-6373
- Fax
- (870) 604-1366
- NPI assigned
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- No
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 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrison, AR
- NPI 1275523912
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Teague Family Med and Spa, LLC
Practice addresses (Care Compare)
519 N Willow St
Harrison, AR 72601-3518
Phone (866) 573-4747
Hospital & facility affiliations
- North Arkansas Regional Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191212001100 | AR | Practitioner - Nurse Practitioner | 1355774910 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120823 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Clinic PLLC | Current | Accepting new patients | |
| Teague Family Med & Spa, LLC | Family | Current | Accepting new patients |
Locations
519 N Willow St
Harrison, AR 72601
Phone (866) 573-4747
661 N Main St
Salem, AR 72576
Phone (870) 895-3281
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 120823 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1002 North Spring St
Harrison, AR 72601-2918
Mailing address
PO Box 1060
Marshall, AR 72650-1060
Phone (870) 448-5101
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236184758 | Medicaid | AR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2025.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1639726862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1060",
"city": "MARSHALL",
"state": "AR",
"postal_code": "726501060",
"telephone_number": "870-448-5101",
"fax_number": "870-604-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 NORTH SPRING ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726012918",
"telephone_number": "870-741-6373",
"fax_number": "870-604-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAGUE",
"first_name": "ANGELA",
"middle_name": "NICOLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "120823",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236184758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, AR
- Amanda Taylor
- Charity Dawne Taylor, APRN, PMHNP-C
- Chris W Taylor, M.D.
- Phillip Taylor, MHPP
- Teague Family Med & Spa, LLC
- Lauralyn Louise Terherst
- Texarkana Behavioral Associates, L.C.
- Texarkana Behavioral Associates, L.C.
- The Mental Fitness Center of the Ozarks,Inc
- Thera-Play Pediatrics of Harrison, Ar LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.