TERESA NEPRUD NP – NPI #1386636603
Nurse Practitioner

TERESA NEPRUD is a nurse practitioner located in LINCOLN, ME. NPPES has assigned the NPI number 1386636603 to TERESA NEPRUD on August 23, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name TERESA BRADBERRY STANFILL. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was last updated on Nov 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TERESA NEPRUD below.

NPI Profile for
TERESA NEPRUD

NPI Number
1386636603
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TERESA NEPRUD
Former Name: TERESA BRADBERRY STANFILL
Credentials
NP
Primary location
175 W BROADWAY
LINCOLN, ME 04457-4000
Phone: (207) 794-6700 Fax:
3 Other location(s):
200 Hospital Dr Ste 300
Glen Burnie, MD 21061-5884
Phone: (410) 837-2020
300 Oak St Ste B
Kelso, WA 98626-2304
Phone: (360) 353-5511
Fax: (360) 353-5502
1057 12th Ave
Longview, WA 98632-2509
Phone: (360) 636-3892
Fax: (360) 232-8400
Mailing address
411 WALNUT ST # 13588
GREEN COVE SPRINGS, FL 32043-3443
Phone: (410) 353-7961 Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TERESA NEPRUD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherJHHCMD258291
medicaidMD587105100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)
WA AP60856983

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.