Randall E Wiley, DC, MSN, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R268981 Issued in MD

Practice address

23511 Hollywood Rd Ste 2
Leonardtown, MD 20650-5922

Phone

(301) 997-0611

Fax

(855) 253-1610

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, MD2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment Care Compare group NPD
• DHHS IHS Colville Service Unit

  • Clinic/Center
  • Nespelem, WA
  • NPI 1811091911

  TX

  Medicare reassignment NPD
• Omak Tribal Health Clinic

  • Clinic/Center
  • Omak, WA
  • NPI 1639210370

  TX

  Medicare reassignment NPD
• Coyote Chiropractic PLLC

  • Chiropractor
  • Vienna, VA
  • NPI 1467564187
  NPD (past) Authorized official
• Medstar Urgent Care LLC

  • Urgent Care Clinic/Center
  • Baltimore, MD
  • NPI 1902175870
  NPD
• Medstar Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Wheaton, MD
  • NPI 1871843409
  NPD
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD

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

• St Marys Hospital of St Marys County Inc

  • General Acute Care Hospital
  • Leonardtown, MD
  • NPI 1780650473
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1013029735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23511 HOLLYWOOD RD STE 2",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505922",
            "telephone_number": "301-997-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23511 HOLLYWOOD RD STE 2",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505922",
            "telephone_number": "301-997-0611",
            "fax_number": "855-253-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "RANDALL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC, MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556249",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R268981",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R268981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE LICENSE",
            "identifier": "R268981",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA STATE LICENSE",
            "identifier": "0104556249",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canesha Wells
• Elizabeth Welsh
• Jonathan Wenk
• Kimberly Ann Westcoat, CRNA
• Emily Whitsett, RN
• Kelly Lynn Willer, MOTR/L
• Alyssa Susan Williams, PMHNP-BC
• April D Williams, RRA
• Margaret Harsany Williams, PT
• Jennifer Christa Willoughby, PH.D.

• Family Nurse Practitioner in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.

Verify at the official NPI Registry.