Active NPI
Teresa G Ottmann, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Sanford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 122888
- Practice address
- 130 Carbonton Rd
Sanford, NC 27330-4009 - Phone
- (919) 774-6521
- Fax
- (919) 776-6179
- NPI assigned
- Jul 30, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 122888 | NC | Primary |
Addresses
Primary practice location
130 Carbonton Rd
Sanford, NC 27330-4009
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100
Other practice location 1
1160 Aiken Rd
Vass, NC 28394-9679
Phone (910) 398-0999
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | integratedcare@direct.daymarkrecovery.nextgenshare.com | Direct | Daymark Recovery Services Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Carolina School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 Carbonton Rd
Sanford, NC 27330-4009
Phone (919) 774-6521
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 89.03
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 90.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Current | Accepting new patients | |
| Equijourney International, LLC | Registered Nurse | Past | Accepting new patients |
Locations
284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118
1104A S Main St
Lexington, NC 27292
Phone (336) 252-2450
2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616
130 Carbonton Rd
Sanford, NC 27330
Phone (919) 774-6521
Interoperability endpoints
- teresa.graham.p1@direct.daymarkrecovery.nextgenshare.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.
-
- Multi-Specialty Clinic/Center
- Concord, NC
- NPI 1558329243
-
- Registered Nurse
- Vass, NC
- NPI 1780069807
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Alleghany Health
- Critical Access Hospital
- Sparta, NC
- NPI 1356318968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1649655747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251833",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CARBONTON RD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304009",
"telephone_number": "919-774-6521",
"fax_number": "919-776-6179"
}
],
"practiceLocations": [
{
"address_1": "1160 Aiken Rd",
"address_purpose": "LOCATION",
"city": "Vass",
"state": "NC",
"postal_code": "283949679",
"country_code": "US",
"telephone_number": "910-398-0999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTTMANN",
"first_name": "TERESA",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2023-11-27",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "122888",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "integratedcare@direct.daymarkrecovery.nextgenshare.com",
"affiliation": "Y",
"affiliationName": "Daymark Recovery Services Inc",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "284 Executive Park Dr",
"address_2": "Suite 100",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280251831",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.