Individual provider Active NPI

Emma O'Neil, AGNP-C

  • Nurse Practitioner
  • Middlebury, CT
National Provider Identifier
1154913150
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9330 Issued in CT
Practice address
1579 Straits Tpke
Middlebury, CT 06762-1835
Phone
(203) 598-7246
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9330 CT Primary

Addresses

Primary practice location

1579 Straits Tpke
Middlebury, CT 06762-1835

Mailing address

1579 Straits Tpke
Middlebury, CT 06762-1835
Phone (203) 598-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210409001465 CT Practitioner - Nurse Practitioner 9133537277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrine Assoc of CT LLCGroup PAC ID 0840257192, 10 clinicians

Practice addresses (Care Compare)

1952 Whitney Ave
Suite 14
Hamden, CT 06517-1209
Phone (203) 776-4444

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9330CTMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Spine & Sports Medicine, PC Nurse Practitioner CurrentSince Mar 29, 2021 Accepting new patients
Endocrine Assoc of CT LLC CurrentSince Feb 3, 2025 Accepting new patients
Northeast Medical Group, Inc. Nurse Practitioner Past Accepting new patients

Locations

1952 Whitney Ave
Ste 14
Hamden, CT 06517
Phone (203) 766-4444

1579 Straits Tpke
Lowr
Middlebury, CT 06762
Phone (203) 598-7246

1952 Whitney Ave
New Haven, CT 06517
Phone (203) 553-7626

166 Waterbury Rd
Ste 204
Prospect, CT 06712
Phone (203) 598-7246

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_ISSM
  • Direct secure messaging: eoneil@iss1780.srs-direct.com
  • Direct secure messaging: eoneil704705@direct.ynhh.org

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.

Hospital & facility affiliations 4

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1154913150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621835",
            "telephone_number": "203-598-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621835",
            "telephone_number": "203-598-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "EMMA",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "9330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

Verify at the official NPI Registry.