Individual provider Active NPI

Kabrina L Wilson, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1043681109
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R185225 Issued in MD
Practice address
7601 Osler Dr
Towson, MD 21204-7700
Phone
(410) 427-5500
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R185225 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R185225 MD Primary

Addresses

Primary practice location

7601 Osler Dr
Towson, MD 21204-7700

Mailing address

22 S Greene St, Baltimore, MD 21201
T1R73
Baltimore, MD 21201
Phone (410) 328-8541

Other practice location 1

22 S Greene St, Baltimore, MD 21201
T1R73
Baltimore, MD 21201
Phone (410) 328-8541

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
I20160802002033 MD Practitioner - Nurse Practitioner 9133413966 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1616 Forest Dr
Suite 1
Annapolis, MD 21403-1019
Phone (410) 263-4400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shock Trauma Associates, P.a. CurrentSince Jun 16, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 13, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2020 Accepting new patients
Center for Eating Disorders PA CurrentSince Feb 15, 2023 Accepting new patients
Brightwell Health LLC Psychiatric/Mental Health CurrentSince Oct 2, 2024 Accepting new patients
Privia Medical Group, LLC Current Accepting new patients
Kinstead Provider Group, P.a. Psychiatric/Mental Health CurrentSince Mar 1, 2026 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 13, 2024 Accepting new patients
Arundel Mental Health Professionals L.C. Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

1616 Forest Dr
Ste 1
Annapolis, MD 21403
Phone (410) 263-4400

400 E Pratt St
Fl 8
Baltimore, MD 21202
Phone (410) 505-0521

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

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

7310 Ritchie Hwy
Ste 516
Glen Burnie, MD 21061
Phone (410) 761-7305

101 Schilling Rd
Ste 40A
Hunt Valley, MD 21031
Phone (410) 427-3900

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: kabrina.wilson.1@8042.direct.athenahealth.com
  • Direct secure messaging: kabrina.wilson.1@17455.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1043681109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST, BALTIMORE, MD 21201",
            "address_2": "T1R73",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-328-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 OSLER DR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047700",
            "telephone_number": "410-427-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St, Baltimore, MD 21201",
            "address_2": "T1R73",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21201",
            "country_code": "US",
            "telephone_number": "410-328-8541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KABRINA",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R185225",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.