Individual provider Active NPI

Jamie Lee Teal, ACNS

  • Adult Health Clinical Nurse Specialist
  • Boardman, OH
National Provider Identifier
1861937302
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
APRN.CNS.019300 Issued in OH
Practice address
960 Windham CT Ste 1
Boardman, OH 44512-5087
Phone
(330) 726-3357
Fax
(330) 726-1465
NPI assigned
Dec 19, 2016
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X APRN.CNS.019300 OH Primary

Addresses

Primary practice location

960 Windham CT Ste 1
Boardman, OH 44512-5087

Mailing address

925 Trailwood Dr
Youngstown, OH 44512-5008
Phone (330) 758-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180824002283 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 6800145723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Rehabilitation AssociatesGroup PAC ID 7719964485, 8 clinicians

Practice addresses (Care Compare)

925 Trailwood Dr
Youngstown, OH 44512-5008
Phone (330) 758-7575

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Rehabilitation Associates CurrentSince Apr 1, 2024 Accepting new patients

Locations

925 Trailwood Dr
Youngstown, OH 44512
Phone (330) 758-7575

Interoperability endpoints

  • Direct secure messaging: jteal20815@nomshealthcare.direct-ci.com

Organizations & group practices 1

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 3

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": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1861937302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 TRAILWOOD DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125008",
            "telephone_number": "330-758-7575",
            "fax_number": "330-758-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 WINDHAM CT STE 1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125087",
            "telephone_number": "330-726-3357",
            "fax_number": "330-726-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "credential": "ACNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "APRN.CNS.019300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.