Individual provider Active NPI

Andrea Michelle O'Connor, CRNP

  • Family Nurse Practitioner
  • Towson, MD
National Provider Identifier
1699235416
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R195942 Issued in MD
Practice address
1001 Cromwell Bridge Rd Ste 100
Towson, MD 21286-3329
Phone
(443) 991-4914
NPI assigned
Mar 20, 2019
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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 R195942 MD Primary

Addresses

Primary practice location

1001 Cromwell Bridge Rd Ste 100
Towson, MD 21286-3329

Mailing address

203 Chimney Oak Dr
Joppa, MD 21085-4727
Phone (410) 916-2048

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
I20190507001340 MD Practitioner - Nurse Practitioner 0547502809 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8025

3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808

6535 N Charles St
Baltimore, MD 21204-5822

6565 N Charles St
Baltimore, MD 21204-6808

6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658

6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123

6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658

6701 N Charles St
Baltamore, MD 21204-6808

6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808

6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Emergency Medicine Associates, PA CurrentSince Jul 27, 2020 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince May 1, 2023 Accepting new patients
University of Maryland Neurosurgery Associates P a CurrentSince Oct 3, 2022 Accepting new patients
University of Maryland Midtown Health Inc CurrentSince May 30, 2020 Accepting new patients
Greater Baltimore Medical Center, Inc Family Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince May 1, 2023 Accepting new patients

Locations

105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
Ste 12D
Baltimore, MD 21201
Phone (410) 328-6034

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

6535 N Charles St
Ste 125
Towson, MD 21204
Phone (443) 849-3779

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

Interoperability endpoints

  • Direct secure messaging: aoconnor64717@gbmcdirect.org
  • Direct secure messaging: aoconnor689891@direct.umm.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1699235416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CHIMNEY OAK DR",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854727",
            "telephone_number": "410-916-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROMWELL BRIDGE RD STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212863329",
            "telephone_number": "443-991-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R195942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.