Individual provider Active NPI

Jessica O'Gradney

  • Adult Health Nurse Practitioner
  • New Market, MD
National Provider Identifier
1497133490
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9203036 Issued in FL
Practice address
6610 Ridgecrest PL
New Market, MD 21774-7600
Phone
(813) 957-7399
NPI assigned
May 11, 2015
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9203036 FL Primary
Primary Care Nurse Practitioner 363LP2300X R207964 MD

Addresses

Primary practice location

6610 Ridgecrest PL
New Market, MD 21774-7600

Mailing address

6610 Ridgecrest PL
New Market, MD 21774-7600
Phone (813) 957-7399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR, WA, IA, NC, TX, NE, ND8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20230621000375 FL Practitioner - Nurse Practitioner 6305167990 Reassigns benefits to 1 organization
I20250327003788 AR Practitioner - Nurse Practitioner 6305167990 Reassigns benefits to 1 organization
I20250609003126 WA Practitioner - Nurse Practitioner 6305167990 Reassigns benefits to 1 organization
I20250624001765 IA Practitioner - Nurse Practitioner 6305167990 Reassigns benefits to 1 organization
I20260420000616 NC Practitioner - Nurse Practitioner 6305167990 Reassigns benefits to 1 organization
I20260421001248 TX Practitioner - Nurse Practitioner 6305167990 Reassigns benefits to 1 organization
I20260421001344 NE Practitioner - Nurse Practitioner 6305167990 Reassigns benefits to 1 organization
I20260429003972 ND Practitioner - Nurse Practitioner 6305167990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R207964MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MSC Ambulatory Surgical Center, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1497133490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 RIDGECREST PL",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217747600",
            "telephone_number": "813-957-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 RIDGECREST PL",
            "city": "NEW MARKET",
            "state": "MD",
            "postal_code": "217747600",
            "telephone_number": "813-957-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GRADNEY",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9203036",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R207964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Market, MD

Sources for this page

Verify at the official NPI Registry.