Individual provider Active NPI

Teresa Joanne Enright, FNP

  • Family Nurse Practitioner
  • Wilson, WY
National Provider Identifier
1922399716
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95015338 Issued in CA
Practice address
5235 HHR Ranch Rd
Wilson, WY 83014-9210
Phone
(307) 739-7696
Fax
(307) 739-0734
NPI assigned
Apr 27, 2011
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 30108.1147 WY
Family Nurse Practitioner 363LF0000X NP95015338 CA Primary

Addresses

Primary practice location

5235 HHR Ranch Rd
Wilson, WY 83014-9210

Mailing address

PO Box 14163
Jackson, WY 83002-4163
Phone (307) 739-7696

Other identifiers 1

IdentifierTypeStateIssuer
131038100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210216002634 CA Practitioner - Nurse Practitioner 5294903662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.82 of 100Reported as group
Quality
67.1
Promoting interoperability
98
Improvement activities
40
Cost
73.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95015338CAMDFamily Nurse Practitioner
30108.1147WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Group of Ventura County Inc CurrentSince Nov 11, 2020 Accepting new patients
Teton Valley Health Care Inc Past Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients
Westside Medical, LLC Family Past Accepting new patients

Locations

10885 Telegraph Rd
Ventura, CA 93004
Phone (805) 647-7704

2772 Johnson Dr
Ste 100
Ventura, CA 93003
Phone (805) 642-1430

2772 Johnson Dr
Ste 200
Ventura, CA 93003
Phone (805) 642-1430

3555 Loma Vista Rd
Ste 110
Ventura, CA 93003
Phone (805) 653-0303

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1922399716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14163",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830024163",
            "telephone_number": "307-739-7696",
            "fax_number": "307-739-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 HHR RANCH RD",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830149210",
            "telephone_number": "307-739-7696",
            "fax_number": "307-739-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIGHT",
        "first_name": "TERESA",
        "middle_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "30108.1147",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95015338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131038100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, WY

Sources for this page

Verify at the official NPI Registry.