Individual provider Active NPI

Teri M Marie O'Neil, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1528241585
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R150040 Issued in MD
Practice address
Nurse Practitioner Association of Maryland-Office
5372 Iron Pen Place
Columbia, MD 21044
Phone
(443) 367-0277
Fax
(410) 772-7915
NPI assigned
Dec 13, 2007
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R150040 MD Primary

Addresses

Primary practice location

Nurse Practitioner Association of Maryland-Office
5372 Iron Pen Place
Columbia, MD 21044

Mailing address

7614 Irongate Lane
Frederick, MD 21702
Phone (301) 473-2556

Other identifiers 1

IdentifierTypeStateIssuer
098149400MedicaidMD

Other names 1

  • Teri Marie Jefferson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address teri.o.neil.1@15509.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100525000885 MD Practitioner - Nurse Practitioner 2163551474 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R150040MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gaffar a Syed MD PA CurrentSince Oct 13, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

801 Toll House Ave
Ste H4
Frederick, MD 21701
Phone (301) 695-5552

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15509/brand/1/csg/1/fhir/r4
  • Direct secure messaging: teri.o.neil.1@15509.direct.athenahealth.com

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1528241585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 IRONGATE LANE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-473-2556",
            "fax_number": "410-772-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NURSE PRACTITIONER ASSOCIATION OF MARYLAND-OFFICE",
            "address_2": "5372 IRON PEN PLACE",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "443-367-0277",
            "fax_number": "410-772-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "TERI",
        "middle_name": "M MARIE",
        "name_prefix": "Mrs.",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R150040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098149400",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "teri.o.neil.1@15509.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "801 Toll House Ave Ste H4",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217014555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "JEFFERSON",
            "middle_name": "MARIE",
            "credential": "MSN,FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.