Jeannette Carol Quigley, MS, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R130486 Issued in MD

Practice address

402 Marvel CT
Easton, MD 21601-4052

Phone

(833) 510-4357

NPI assigned

Apr 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

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.

• Chesapeake Treatment Services LLC

  dba Brightview Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Easton, MD
  • NPI 1871287888
  Medicare reassignment NPD
• Chesapeake Treatment Services Ocean City LLC

  dba Brightview Health

  • Addiction Medicine (Internal Medicine) Physician
  • Ocean City, MD
  • NPI 1104519107
  Medicare reassignment NPD
• Chesapeake Treatment Services LLC

  dba Brightview

  • Methadone Clinic
  • Easton, MD
  • NPI 1346650173
  NPD
• Chesapeake Treatment Services Ocean City LLC

  dba Brightview

  • Methadone Clinic
  • Ocean City, MD
  • NPI 1578078531
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1386817492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014052",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12417 Ocean Gtwy Ste 7",
            "address_purpose": "LOCATION",
            "city": "Ocean City",
            "state": "MD",
            "postal_code": "218429522",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "JEANNETTE",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "MS, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R130486",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R130486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445209700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Private Care Duty, LLC
• Progressive Physical Therapy, LLC
• Cynthia Prudhomme, LMSW
• Laurie K Pumphrey, PSY.D
• Carole Purdue
• Margret Bowen Quimby, DDS
• R. Hutchison., LLC (R.Hutchison Behavioral Health & Consultation Services)
• Genia Nichol Raglin
• Rainbow Medical Supply, Inc
• Rupesh Ramtel

• Adult Health Nurse Practitioner in Easton, MD
• Providers in Easton, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.