Individual provider Active NPI

Jessica Wheatley, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1659855773
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R209739 Issued in MD
Practice address
400 E Pratt St Ste 800
Baltimore, MD 21202-3122
Phone
(855) 403-0967
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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 R209739 MD Primary

Addresses

Primary practice location

400 E Pratt St Ste 800
Baltimore, MD 21202-3122

Mailing address

7809 Wisconsin Ave
Bethesda, MD 20814-3523

Other practice location 1

7809 Wisconsin Ave
Bethesda, MD 20814-3523
Phone (301) 986-9144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE, WV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181113001307 MD Practitioner - Nurse Practitioner 5597019414 Reassigns benefits to 1 organization
I20250314000899 DE Practitioner - Nurse Practitioner 5597019414 Reassigns benefits to 2 organizations
I20260512001575 WV Practitioner - Nurse Practitioner 5597019414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 400
Dallas, TX 75244-4910

4055 Valley View LN
Suite 400
Dallas, TX 75244-5071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jan 10, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Community Care Health Network LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

1000 N West St
Ste 1200
Wilmington, DE 19801
Phone (302) 449-6471

2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1659855773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E PRATT ST STE 800",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023122",
            "telephone_number": "855-403-0967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7809 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208143523",
            "country_code": "US",
            "telephone_number": "301-986-9144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "JESSICA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R209739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.