Individual provider Active NPI

Felicia Marie Teague, FNP-C

  • Family Nurse Practitioner
  • Waco, TX
National Provider Identifier
1972327807
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1179576 Issued in TX
Practice address
5400 Crosslake Pkwy
Waco, TX 76712-6513
Phone
(254) 315-7058
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1179576 TX Primary

Addresses

Primary practice location

5400 Crosslake Pkwy
Waco, TX 76712-6513

Mailing address

3021 Risinger Rd
Lorena, TX 76655-3892
Phone (254) 315-7058

Other practice location 1

3021 Risinger Rd
Lorena, TX 76655-3892
Phone (254) 315-7058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241223001971 TX Practitioner - Nurse Practitioner 6002343522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1135 N Loop
Suite 340
Lacy Lakeview, TX 76705-2486
Phone (254) 867-1962

1201 Hewitt Dr
Suite 203
Waco, TX 76712-8834
Phone (254) 666-3627

1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100

5400 Crosslake Pkwy
Suite 300
Waco, TX 76712-6512
Phone (254) 247-1450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1179576TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC CurrentSince Nov 20, 2024 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Nov 20, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 10, 2026 Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • Direct secure messaging: felicia.teaguefnp.p6@direct.nextcare.nextgenshare.com

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": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1972327807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 RISINGER RD",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766553892",
            "telephone_number": "254-315-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CROSSLAKE PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126513",
            "telephone_number": "254-315-7058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3021 Risinger Rd",
            "address_purpose": "LOCATION",
            "city": "Lorena",
            "state": "TX",
            "postal_code": "766553892",
            "country_code": "US",
            "telephone_number": "254-315-7058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "FELICIA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1179576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.