Individual provider Active NPI

Danielle Wilkison, CRNP

  • Nurse Practitioner
  • Preston, MD
National Provider Identifier
1639763428
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AC003582 Issued in MD
Practice address
225 Main St
Preston, MD 21655-2215
Phone
(410) 754-0750
Fax
(833) 914-0410
NPI assigned
Feb 23, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AC003582 MD Primary

Addresses

Primary practice location

225 Main St
Preston, MD 21655-2215

Mailing address

225 Main St
Preston, MD 21655-2215

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
I20210331000284 MD Practitioner - Nurse Practitioner 4183031529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

126 Philosophers Ter
Chestertown, MD 21620-1715
Phone (443) 215-5353

316 Railroad Ave
Goldsboro, MD 21636-1126
Phone (410) 634-2380

601 High St
Chestertown, MD 21620-1124
Phone (410) 479-5772

808 S 5TH Ave
Denton, MD 21629-1398
Phone (410) 479-2650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC003582MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Mar 24, 2021 Accepting new patients
Choptank Community Health System Inc CurrentSince Mar 24, 2021 Accepting new patients
Choptank Community Health System Inc Past Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

522 Cynwood Dr
Ste 100
Easton, MD 21601
Phone (410) 770-8910

Interoperability endpoints

  • Direct secure messaging: danielle.wilkison.1@20853.direct.athenahealth.com

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1639763428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MAIN ST",
            "city": "PRESTON",
            "state": "MD",
            "postal_code": "216552215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAIN ST",
            "city": "PRESTON",
            "state": "MD",
            "postal_code": "216552215",
            "telephone_number": "410-754-0750",
            "fax_number": "833-914-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKISON",
        "first_name": "DANIELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC003582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Preston, MD

Sources for this page

Verify at the official NPI Registry.