Individual provider Active NPI

Teresa Jo Elmquist, CRNP- FNP-C

  • Family Nurse Practitioner
  • Ridgway, PA
National Provider Identifier
1821969304
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP033888 Issued in PA
Practice address
49 Ridgmont Dr Ste 1
Ridgway, PA 15853-9700
Phone
(814) 245-2119
Fax
(814) 245-2122
NPI assigned
Sep 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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 SP033888 PA Primary

Addresses

Primary practice location

49 Ridgmont Dr Ste 1
Ridgway, PA 15853-9700

Mailing address

7350 Glen Hazel Rd
Wilcox, PA 15870-3616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260109002352 PA Practitioner - Nurse Practitioner 9931685898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rural Health Consortia, Inc.Group PAC ID 8022055078, 8 clinicians

Practice addresses (Care Compare)

49 Ridgmont Dr
Suite 1
Ridgway, PA 15853-9700
Phone (814) 245-2119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP033888PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Consortia, Inc. CurrentSince Dec 8, 2025 Accepting new patients

Locations

90 E 2nd St
Emporium, PA 15834
Phone (814) 486-0909

49 Ridgmont Dr
#1
Ridgway, PA 15853
Phone (814) 245-2119

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1821969304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 GLEN HAZEL RD",
            "city": "WILCOX",
            "state": "PA",
            "postal_code": "158703616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 RIDGMONT DR STE 1",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158539700",
            "telephone_number": "814-245-2119",
            "fax_number": "814-245-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMQUIST",
        "first_name": "TERESA",
        "middle_name": "JO",
        "credential": "CRNP- FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgway, PA

Sources for this page

Verify at the official NPI Registry.