NPIMap

Individual provider Active NPI

Nicole Elaine Yoder, CRNP

  • Family Nurse Practitioner
  • Grantsville, MD
National Provider Identifier
1730066838
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R225543 Issued in MD
Practice address
28 Hershberger LN
Grantsville, MD 21536-1172
Phone
(301) 895-5107
Fax
(833) 448-0359
NPI assigned
Aug 19, 2025
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 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 R225543 MD Primary

Addresses

Primary practice location

28 Hershberger LN
Grantsville, MD 21536-1172

Mailing address

11035 National Pike
Grantsville, MD 21536-2012
Phone (301) 616-8161

Other names 1

  • Nicole Elaine Bender Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251113000148 MD Practitioner - Nurse Practitioner 9739670282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22221 Westernport Rd SW
Westernport, MD 21562-2206
Phone (240) 774-0204

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R225543MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Maryland Health Care Corporation CurrentSince Sep 17, 2025 Accepting new patients
Western Maryland Health Care Corporation CurrentSince Sep 17, 2025 Accepting new patients
Western Maryland Health Care Corporation Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Western Maryland Health Care Corporation Past Accepting new patients

Locations

104 Parkview Dr
Grantsville, MD 21536
Phone (301) 895-5107

28 Hershberger Ln
Grantsville, MD 21536
Phone (301) 895-5107

1027 Memorial Dr
Oakland, MD 21550
Phone (301) 533-3300

22221 Westernport Rd SW
Westernport, MD 21562
Phone (240) 774-0204

Interoperability endpoints

  • Direct secure messaging: nicole.yoder.1@28818.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1730066838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 NATIONAL PIKE",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215362012",
            "telephone_number": "301-616-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HERSHBERGER LN",
            "city": "GRANTSVILLE",
            "state": "MD",
            "postal_code": "215361172",
            "telephone_number": "301-895-5107",
            "fax_number": "833-448-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "NICOLE",
        "middle_name": "ELAINE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R225543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BENDER",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grantsville, MD

Sources for this page

Verify at the official NPI Registry.