Individual provider Active NPI

Emily Wilson Pyne, FNP-C

  • Family Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1619458189
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R258220 Issued in MD
Practice address
4801 Dorsey Hall Dr Ste 140
Ellicott City, MD 21042-7703
Phone
(410) 992-4100
Fax
(410) 992-4170
NPI assigned
Aug 23, 2018
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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 R258220 MD Primary

Addresses

Primary practice location

4801 Dorsey Hall Dr Ste 140
Ellicott City, MD 21042-7703

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other names 1

  • Emily Anna Wilson Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Emily.Wilson@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • 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
I20221102002820 MD Practitioner - Nurse Practitioner 5597004036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

4801 Dorsey Hall Dr
Suite 140
Ellicott City, MD 21042-7703
Phone (410) 992-4100

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R258220MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Nov 1, 2022 Accepting new patients
Forefront Dermatology SC CurrentSince Nov 1, 2022 Accepting new patients
Virginia Commonwealth University Health System Authority PastSince Jan 13, 2019 Accepting new patients

Locations

10910 Little Patuxent Pkwy
Ste 205
Columbia, MD 21044
Phone (410) 772-0707

4801 Dorsey Hall Dr
Ste 140
Ellicott City, MD 21042
Phone (410) 992-4100

106 Milford St
Ste 302
Salisbury, MD 21804
Phone (410) 546-4431

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1619458189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR STE 140",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427703",
            "telephone_number": "410-992-4100",
            "fax_number": "410-992-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYNE",
        "first_name": "EMILY",
        "middle_name": "WILSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R258220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emily.Wilson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "4801 Dorsey Hall Dr Ste 140",
            "city": "Ellicott City",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210427703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WILSON",
            "middle_name": "ANNA",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.