Individual provider Active NPI

Temeria Wilcox, CRNP

  • Family Nurse Practitioner
  • Lexington Park, MD
National Provider Identifier
1154869824
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R202461 Issued in MD
Practice address
20945 Great Mills Rd
Suite 203
Lexington Park, MD 20653-4369
Phone
(240) 237-8557
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 R202461 MD Primary

Addresses

Primary practice location

20945 Great Mills Rd
Suite 203
Lexington Park, MD 20653-4369

Mailing address

22196 Three Notch Rd
Ste 104
Lexington Park, MD 20653-2008
Phone (240) 237-8557

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
I20170520000118 MD Practitioner - Nurse Practitioner 8022385129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22680 Cedar Lane CT
Leonardtown, MD 20650-3928
Phone (301) 997-4453

Hospital & facility affiliations

  • Homecall Home health agency, Easton, MD, CCN 217066
  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NP Family Practice CurrentSince Jul 1, 2019 Accepting new patients

Locations

22680 Cedar Lane Ct
Ofc 2
Leonardtown, MD 20650
Phone (301) 862-3338

22196 Three Notch Rd
Ste 104
Lexington Park, MD 20653
Phone (301) 997-4453

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 and National Provider Directory roles.

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": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154869824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22196 THREE NOTCH RD",
            "address_2": "STE 104",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206532008",
            "telephone_number": "240-237-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20945 GREAT MILLS RD",
            "address_2": "SUITE 203",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206534369",
            "telephone_number": "240-237-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "TEMERIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R202461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

Verify at the official NPI Registry.