TERESA ANNE DISTLER NP-C
NPI 1679024798
Nurse Practitioner - Family in Fort Leonard Wood, MO
About Teresa Anne Distler Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERESA ANNE DISTLER NP-C (NPI 1679024798) is an individual family provider in Fort Leonard Wood, Missouri, licensed in Missouri (2016037029) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Teresa Anne Distler Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Teresa Distler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jefferson City, MO 65109
- Reassigned Medicare billing, Missouri enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT LEONARD WOOD, MO 65473
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Teresa Distler's NPI number?
The NPI number for Teresa Distler is 1679024798. It was assigned to this individual provider in the NPPES registry on October 24, 2016.
Where is Teresa Distler located?
Teresa Distler practices at 4234 Illinois Ave, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-1765.
What is Teresa Distler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Teresa Distler enrolled in Medicare?
Yes. Teresa Distler is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Teresa Distler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Distler reassigns Medicare benefits to Health Quest Physicians Group, LLC (Jefferson City, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresa Distler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Teresa Distler was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Teresa Anne Distler, NP-C · NPI 1679024798
Family physician in Fort Leonard Wood, Missouri. Individual provider, active in the CMS NPPES registry since October 24, 2016.
## Identity
- **NPI:** 1679024798 (Entity type: Individual)
- **Enumerated:** October 24, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2016037029 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4234 ILLINOIS AVE, Fort Leonard Wood, MO 65473-9098
- **Phone:** (573) 596-1765
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Health Quest Physicians Group, LLC (NPI 1801989876, Jefferson City, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679024798) · Data from the CMS NPPES public registry.