Individual provider Active NPI

Teresa Michelle King, APRN FNP-C

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1669075586
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113158 Issued in NE
Practice address
755 Fallbrook Blvd Ste 100
Lincoln, NE 68521-4643
Phone
(402) 441-3575
NPI assigned
Nov 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113158 NE Primary

Addresses

Primary practice location

755 Fallbrook Blvd Ste 100
Lincoln, NE 68521-4643

Mailing address

755 Fallbrook Blvd Ste 100
Lincoln, NE 68521-4643
Phone (402) 441-3575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20220308000801 NE Practitioner - Nurse Practitioner 9537553557 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Medical Center 50 clinicians

Practice addresses (Care Compare)

1500 S 48TH St
FL 1
Lincoln, NE 68506-1276
Phone (402) 489-0200

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Street Family Physicians Current Accepting new patients
Seward Urgent Care Partnership LLC CurrentSince Apr 28, 2024 Accepting new patients
Bryan Medical Center CurrentSince Nov 1, 2023 Accepting new patients
Bryan Medical Center Current Accepting new patients
Bryan Medical Center CurrentSince Nov 1, 2023 Accepting new patients
Fallbrook Family Health Center CurrentSince Nov 26, 2021 Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

1500 S 48th St
Fl 1
Lincoln, NE 68506
Phone (402) 489-0200

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

4333 S 86th St
Ste 101
Lincoln, NE 68526
Phone (402) 481-6343

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

4101 Tiger Lily Rd
Ste 130
Lincoln, NE 68516
Phone (402) 481-7900

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2221 S 17th St
Ste 201
Lincoln, NE 68502
Phone (402) 481-5991

755 Fallbrook Blvd
Ste 100
Lincoln, NE 68521
Phone (402) 441-3575

510 Bradford St
Ste A
Seward, NE 68434
Phone (531) 727-2893

Organizations & group practices 10

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 3

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": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1669075586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 FALLBROOK BLVD STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214643",
            "telephone_number": "402-441-3575",
            "fax_number": "402-438-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 FALLBROOK BLVD STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214643",
            "telephone_number": "402-441-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TERESA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2023-02-11",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.