Nickol Weaver, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R187292 Issued in MD

Practice address

10085 Red Run Blvd Ste 105
Owings Mills, MD 21117-4811

Phone

(410) 581-7804

Fax

(410) 356-6507

NPI assigned

Dec 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Greater Baltimore Medical Center, Inc

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
  • NPI 1891855763

  Family

  Medicare reassignment Care Compare group NPD
• Patient First Maryland Medical Group PLLC

  • Family Medicine Physician
  • Silver Spring, MD
  • NPI 1265866503

  DC

  Medicare reassignment NPD
• Capital Healthcare PC

  • Primary Care Clinic/Center
  • Alexandria, VA
  • NPI 1811239627

  MD

  Medicare reassignment NPD
• Patient First Maryland Medical Group, PLLC

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1962423632

  MD

  Medicare reassignment NPD
• Greater Baltimore Medical Center, Inc.

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1164675906
  NPD
• Greater Baltimore Medical Center, Inc.

  • Sleep Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1538029731
  NPD
• Patient First Maryland Medical Group PLLC

  • Family Medicine Physician
  • Waldorf, MD
  • NPI 1205087517
  NPD
• Patient First Maryland Medical Group PLLC

  • Family Medicine Physician
  • Capitol Heights, MD
  • NPI 1427807999
  NPD
• Greater Baltimore Medical Center, Inc.

  • Medical Oncology Physician
  • Baltimore, MD
  • NPI 1235167297
  NPD (past)

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

• Greater Baltimore Medical Center, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1255372397
  Care Compare affiliation

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1215695366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10085 RED RUN BLVD STE 105",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174811",
            "telephone_number": "410-581-7804",
            "fax_number": "410-356-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 RED RUN BLVD STE 105",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174811",
            "telephone_number": "410-581-7804",
            "fax_number": "410-356-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "NICKOL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Stephanie Warren, MD
• Michele Disiree Warren, FNP
• Sandra Mary Warren, PA-C
• Washington Open MRI Inc
• Melissa Katherine Waters, RN
• Ronald Leroy Webb, MA, LCPC
• Jessica Morgan Weber, DDS
• Wegmans Food Markets, Inc.
• Weiner Chiropractic PC
• Daniel J. Weiner, DC

• Family Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, 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 Jul 21, 2026; 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.