Individual provider Active NPI

Angela Nicole Teague, APRN

  • Family Nurse Practitioner
  • Harrison, AR
National Provider Identifier
1639726862
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120823 Issued in AR
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.

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 2 clinicians

Practice addresses (Care Compare)

519 N Willow St
Harrison, AR 72601-3518
Phone (866) 573-4747

Hospital & facility affiliations

  • North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
120823ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Clinic PLLC CurrentSince Jan 1, 2026 Accepting new patients
Teague Family Med & Spa, LLC Family CurrentSince Jun 29, 2025 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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 120823 AR Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
236184758MedicaidAR

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

Sources for this page

Verify at the official NPI Registry.