MALACHI WILLIAM TEAGUE RN
NPI 1790520005
Student in an Organized Health Care Education/Training Program in Salem, OR

Active since June 27, 2024PECOS Enrolled
890 OAK ST SE, SALEM, OR 97301(541) 620-4764 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Malachi William Teague Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALACHI WILLIAM TEAGUE RN (NPI 1790520005) is an individual student in an organized health care education/training program in Salem, Oregon and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790520005
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMALACHI WILLIAM TEAGUECredential: RN
Location Address890 OAK ST SESalem, OR 97301-3905
Mailing Address3420 Broken Arrow Loop NwSalem, OR 97304-2221 · (541) 620-4764
Sole ProprietorNo
Enumeration DateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1790520005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
890 OAK ST SE, Salem, OR 97301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malachi William Teague Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Emergency Medicine
890 OAK ST SE, BUILDING 'A'
SALEM, OR 97301
Family Medicine (Sports Medicine)
890 OAK ST SE
SALEM, OR 97301
Nurse Practitioner (Family)
890 OAK ST SE
SALEM, OR 97301
Psychiatry & Neurology (Neurology)
890 OAK ST SE
SALEM, OR 97301
Registered Nurse
890 OAK ST SE
SALEM, OR 97301
Registered Nurse (Emergency)
890 OAK ST SE
SALEM, OR 97301
Student in an Organized Health Care Education/Training Program
890 OAK ST SE
SALEM, OR 97301
Emergency Medicine
890 OAK ST SE, SALEM EMERGENCY PHYSICIANS C/O ED - SALEM HOSPITAL 'A'
SALEM, OR 97301

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 Malachi Teague's NPI number?

The NPI number for Malachi Teague is 1790520005. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Malachi Teague located?

Malachi Teague practices at 890 Oak St SE, Salem, OR 97301. The listed phone number is (541) 620-4764.

What is Malachi Teague's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Malachi Teague enrolled in Medicare?

Yes. Malachi Teague is registered in the Medicare PECOS enrollment system.

What insurance does Malachi Teague accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Malachi Teague as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Malachi Teague was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.