Individual provider Active NPI

Teresa Marie Sutton, NP

  • Family Nurse Practitioner
  • Marion, IN
National Provider Identifier
1952817397
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007683A Issued in IN
Practice address
1399 N Baldwin Ave
Marion, IN 46952-1913
Phone
(765) 660-7550
Fax
(765) 662-4467
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 28145560A IN
Primary Care Nurse Practitioner 363LP2300X 71007683A IN
Family Nurse Practitioner 363LF0000X 71007683A IN Primary

Addresses

Primary practice location

1399 N Baldwin Ave
Marion, IN 46952-1913

Mailing address

1399 N Baldwin Ave
Marion, IN 46952-1913
Phone (765) 660-7550

Other identifiers 1

IdentifierTypeStateIssuer
300021011MedicaidIN

Other names 1

  • Teresa Marie Lines Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180918000953 IN Practitioner - Nurse Practitioner 4183975964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion General HospitalGroup PAC ID 9133023625, 115 clinicians

Practice addresses (Care Compare)

1399 N Baldwin Ave
Marion, IN 46952-1913
Phone (765) 660-7550

Hospital & facility affiliations

  • Ascension at Home Home health agency, Pendleton, IN, CCN 157059
  • Angels of Mercy Homecare Home health agency, Marion, IN, CCN 157554
  • Marion General Hospital Hospital, Marion, IN, CCN 150011

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40
Cost
75.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28145560AINMDFamily Nurse Practitioner
71007683AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rounding Providers Family CurrentSince Aug 20, 2018 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Dec 19, 2022 Accepting new patients
Marion General Hospital CurrentSince Sep 27, 2024 Accepting new patients
Marion General Hospital CurrentSince Sep 27, 2024 Accepting new patients

Locations

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

150 Beechmont Dr NE
Corydon, IN 47112
Phone (812) 738-0550

6326 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 515-3275

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

2640 Cold Spring Rd
#A
Indianapolis, IN 46222
Phone (315) 909-1540

1399 N Baldwin Ave
Marion, IN 46952
Phone (765) 651-2620

1251 W Kem Rd
Marion, IN 46952
Phone (765) 662-4684

1391 N Baldwin Ave
Marion, IN 46952
Phone (765) 660-7900

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

119 S Washington St
Marion, IN 46952
Phone (765) 660-7440

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1952817397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521913",
            "telephone_number": "765-660-7550",
            "fax_number": "656-624-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521913",
            "telephone_number": "765-660-7550",
            "fax_number": "765-662-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28145560A",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71007683A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007683A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021011",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "LINES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.