Individual provider Active NPI

Teressa Ann Powers-Fenton, APRN

  • Family Nurse Practitioner
  • Ralston, NE
National Provider Identifier
1932503612
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112199 Issued in NE
Practice address
5300 Woodlawn Ave
Ralston, NE 68127-3704
Phone
(586) 770-9715
NPI assigned
Oct 9, 2014
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP.61511668-NP WA
Family Nurse Practitioner 363LF0000X 112199 NE Primary
Family Nurse Practitioner 363LF0000X 95035120 CA

Addresses

Primary practice location

5300 Woodlawn Ave
Ralston, NE 68127-3704

Mailing address

PO Box 67250
Lincoln, NE 68506-7250
Phone (402) 328-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, WA, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170406002853 NE Practitioner - Nurse Practitioner 0446536338 Reassigns benefits to 1 organization
I20230215000219 IA Practitioner - Nurse Practitioner 0446536338 Reassigns benefits to 2 organizations
I20240303000028 WA Practitioner - Nurse Practitioner 0446536338 Reassigns benefits to 1 organization
I20260122004030 CA Practitioner - Nurse Practitioner 0446536338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14049 Pierce St
Omaha, NE 68144-1033

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Value Based Long Term Care B PC CurrentSince Jun 1, 2025 Accepting new patients
Molina Healthcare of California CurrentSince Jan 12, 2026 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Jan 6, 2023 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Feb 8, 2024 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Jan 6, 2023 Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

1089 Jordan Creek Pkwy
Ste 200
West Des Moines, IA 50266
Phone (615) 206-2462

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: ms_tpower14@landmarkhealth-direct.org
  • Direct secure messaging: tpowersfenton15603@direct-prd.molinahealthcare.com

Organizations & group practices 8

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1932503612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67250",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067250",
            "telephone_number": "402-328-8833",
            "fax_number": "888-965-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 WOODLAWN AVE",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681273704",
            "telephone_number": "586-770-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS-FENTON",
        "first_name": "TERESSA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP.61511668-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112199",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ralston, NE

Sources for this page

Verify at the official NPI Registry.