Individual provider Active NPI

Teresa Mealy

  • Family Nurse Practitioner
  • Mountain Grove, MO
National Provider Identifier
1871766535
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9163557 Issued in FL
Practice address
205 W 3Rd St
Suite 3
Mountain Grove, MO 65711-1649
Phone
(417) 926-3743
Fax
(417) 926-7625
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9163557 FL Primary
Family Nurse Practitioner 363LF0000X 2013011248 MO

Addresses

Primary practice location

205 W 3Rd St
Suite 3
Mountain Grove, MO 65711-1649

Mailing address

205 W 3Rd St
Suite 3
Mountain Grove, MO 65711-1649
Phone (417) 926-3743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 1, 2016 through Nov 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2013011248MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Family Walk in Clinic of Mountain Grove Inc PastSince May 7, 2012 Accepting new patients

Organizations & group practices 3

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1871766535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 3RD ST",
            "address_2": "SUITE 3",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111649",
            "telephone_number": "417-926-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 3RD ST",
            "address_2": "SUITE 3",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111649",
            "telephone_number": "417-926-3743",
            "fax_number": "417-926-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEALY",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9163557",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013011248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Grove, MO

Sources for this page

Verify at the official NPI Registry.