Active NPI
Danielle Wilkison, CRNP
- Nurse Practitioner
- Preston, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AC003582
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC003582 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choptank Community Health System Inc | Current | Accepting new patients | |
| Choptank Community Health System Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Denton, MD
- NPI 1356388599
-
dba Federalsburg Health Center
- Federally Qualified Health Center (FQHC)
- Federalsburg, MD
- NPI 1306678537
-
dba Bay Hundred Health Center
- Federally Qualified Health Center (FQHC)
- St. Michael's, MD
- NPI 1679790299
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.