Active NPI
Nancy Theresa O'Neill, MD
- Family Medicine Physician
- Mars Hill, ME
National Provider Identifier
1467556548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 011780
- Practice address
- 106 Main St
Mars Hill, ME 04758-3403 - Phone
- (207) 429-8333
- NPI assigned
- Sep 11, 2006
- Last updated
- Apr 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00012627 | AL | |
| Family Medicine Physician | 207Q00000X | 011780 | ME | Primary |
Addresses
Primary practice location
106 Main St
Mars Hill, ME 04758-3403
Mailing address
106 Main St
Mars Hill, ME 04758-3403
Phone (207) 429-8333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009933156 | Medicaid | AL | |
| 051001880 | Other | AL | BCBS |
| 271860099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00012627 | AL | MD | Family Medicine Physician |
| 011780 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hale County Hospital | Past | Accepting new patients | |
| Hale County Hospital | Past | Accepting new patients | |
| Crown Pathology, PA | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northern Light Home Care & Hospice
- Home Health Agency
- South Portland, ME
- NPI 1245236306
-
- Clinical Pathology/Laboratory Medicine Physician
- Presque Isle, ME
- NPI 1962423814
-
dba Moundville Medical Associates
- Rural Health Clinic/Center
- Moundville, AL
- NPI 1376901686
-
dba Hale County Hospital Clinic
- Rural Health Clinic/Center
- Greensboro, AL
- NPI 1558464511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1467556548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 MAIN ST",
"city": "MARS HILL",
"state": "ME",
"postal_code": "047583403",
"telephone_number": "207-429-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MAIN ST",
"city": "MARS HILL",
"state": "ME",
"postal_code": "047583403",
"telephone_number": "207-429-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "NANCY",
"middle_name": "THERESA",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00012627",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "011780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009933156",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051001880",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271860099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mars Hill, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.