Individual provider Active NPI

Nicholas Francis Wunder, PA-C

  • Medical Physician Assistant
  • Aberdeen, MD
National Provider Identifier
1508839499
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0002595 Issued in MD
Practice address
995 Hospitality Way
Aberdeen, MD 21001-1755
Phone
(410) 306-7880
Fax
(410) 306-7881
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0002595 MD Primary

Addresses

Primary practice location

995 Hospitality Way
Aberdeen, MD 21001-1755

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA, VA, NJ5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20050124000742 MD Practitioner - Physician Assistant 9234189622 Reassigns benefits to 1 organization
I20140515000717 DC Practitioner - Physician Assistant 9234189622 Reassigns benefits to 2 organizations
I20160303000523 PA Practitioner - Physician Assistant 9234189622 Reassigns benefits to 1 organization
I20160606000046 VA Practitioner - Physician Assistant 9234189622 Reassigns benefits to 1 organization
I20160610000558 NJ Practitioner - Physician Assistant 9234189622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

10424 Baltimore Ave
Beltsville, MD 20705-2321
Phone (240) 542-5987

12 Newport Dr
Forest Hill, MD 21050-1758

1260 Temple Ave
Colonial Heights, VA 23834-2984
Phone (804) 518-2597

13671 Georgia Ave
Aspen Hill, MD 20906-5214
Phone (240) 514-0000

15459 Annapolis Rd
Bowie, MD 20715-1847
Phone (240) 544-0676

1670 Ritchie Station CT
Capitol Heights, MD 20743-5074
Phone (240) 765-1406

21044 Frederick Rd
Germantown, MD 20876-4132
Phone (240) 238-5432

2304 W Mercury Blvd
Hampton, VA 23666-3115
Phone (757) 951-1579

2855 Crain Hwy
Waldorf, MD 20601-2807
Phone (240) 427-1926

3031 Plank Rd
Fredericksburg, VA 22401-4951
Phone (540) 736-5043

3178 W Tilghman St
Allentown, PA 18104-4222
Phone (610) 844-9150

5125 Jonestown Rd
Suite 105
Harrisburg, PA 17112-2987
Phone (717) 943-1566

560 W Macphail Rd
Bel Air, MD 21014-4320
Phone (410) 638-6480

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

606 Cross Keys Rd
Sicklerville, NJ 08081-9513
Phone (856) 237-1016

6201 Annapolis Rd
Landover Hills, MD 20784-1307
Phone (301) 276-3377

630 Mantua Pike
Woodbury, NJ 08096-3233
Phone (856) 812-2220

713 Bethlehem Pike
Montgomeryville, PA 18936-9602
Phone (267) 695-3944

726 Rockville Pike
Rockville, MD 20852-1133
Phone (240) 238-0411

8830 Belair Rd
Baltimore, MD 21236-2401
Phone (410) 529-9200

9715 Liberia Ave
Manassas, VA 20110-5837
Phone (571) 229-1797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group, PLLC Current Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Mar 16, 2016 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Mar 16, 2016 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Feb 1, 2016 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Dec 30, 2013 Accepting new patients
Patient First Maryland Physician'S Group PC CurrentSince Mar 23, 2016 Accepting new patients
Patient First New Jersey Physicians Group LLC CurrentSince Jan 2, 2024 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Jan 21, 2012 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Jan 21, 2012 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Feb 1, 2016 Accepting new patients
Patients First Maryland Physicians Group P C CurrentSince Mar 23, 2016 Accepting new patients
Nephrology Center of Maryland, PA Past Accepting new patients
Sheppard Pratt Physicians, P.a. PastSince Jan 1, 1995 Accepting new patients
Dresnick Sterling Emergency Physicians of Maryland PA Medical Past Accepting new patients

Locations

995 Hospitality Way
Aberdeen, MD 21001
Phone (410) 306-7880

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

630 Mantua Pike
Woodbury, NJ 08096
Phone (856) 812-2220

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1508839499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 HOSPITALITY WAY",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011755",
            "telephone_number": "410-306-7880",
            "fax_number": "410-306-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDER",
        "first_name": "NICHOLAS",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "995 Hospitality Way",
            "city": "Aberdeen",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210011755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.