Individual provider Active NPI

Teige Jeanette Ballweber, APRN

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1881204329
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11008521 Issued in FL
Practice address
414 N Mills Ave
Orlando, FL 32803-5722
Phone
(407) 841-7290
Fax
(407) 636-7800
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 APRN11008521 FL
Adult Health Nurse Practitioner 363LA2200X APRN11008521 FL Primary

Addresses

Primary practice location

414 N Mills Ave
Orlando, FL 32803-5722

Mailing address

414 N Mills Ave
Orlando, FL 32803-5722
Phone (407) 841-7290

Other practice location 1

7400 Docs Grove Cir
Orlando, FL 32819-8010
Phone (407) 352-9717

Other practice location 2

70 W Gore St
Orlando, FL 32806-1124
Phone (407) 635-3053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20201105000326 FL Practitioner - Nurse Practitioner 0941610885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

414 N Mills Ave
Orlando, FL 32803-5722
Phone (407) 654-6506

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as apm
Quality
81.86
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

414 N Mills Ave
Orlando, FL 32803
Phone (407) 841-7290

70 W Gore St
Orlando, FL 32806
Phone (321) 842-3765

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Organizations & group practices 1

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 1

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1881204329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035722",
            "telephone_number": "407-841-7290",
            "fax_number": "407-636-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035722",
            "telephone_number": "407-841-7290",
            "fax_number": "407-636-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Docs Grove Cir",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198010",
            "country_code": "US",
            "telephone_number": "407-352-9717",
            "fax_number": "407-354-5425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 W Gore St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061124",
            "country_code": "US",
            "telephone_number": "407-635-3053",
            "fax_number": "321-842-3287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLWEBER",
        "first_name": "TEIGE",
        "middle_name": "JEANETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008521",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11008521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.