Kathryn Wilson, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R211652 Issued in MD

Practice address

618 Sunburst Hwy
Cambridge, MD 21613-2546

Phone

(667) 372-0228

Fax

(410) 822-9513

NPI assigned

Jul 13, 2021

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Miles River Primary Care LLCGroup PAC ID 1951425545, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Merit-based Incentive Payment System (MIPS)

Final score

85.26 of 100Reported as group

Quality

81.56

Promoting interoperability

100

Improvement activities

40

Cost

69.29

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kphillips541487@direct.umm.edu

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.

• Miles River Primary Care LLC

  • Internal Medicine Physician
  • Easton, MD
  • NPI 1891015012
  Medicare reassignment Care Compare group NPD
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment NPD
• Miles River Primary Care LLC

  • Family Medicine Physician
  • Cambridge, MD
  • NPI 1699594044
  NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD

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

• Shore Health System, Inc

  dba UM Shore Medical Center at Dorchester

  • General Acute Care Hospital
  • Cambridge, MD
  • NPI 1194784751
  Care Compare affiliation
• Shore Health System, Inc

  • Clinical Medical Laboratory
  • Easton, MD
  • NPI 1477513273

  Hospital

  Care Compare affiliation
• Shore Health System, Inc

  dba UM Shore Medical Center at Easton

  • General Acute Care Hospital
  • Easton, MD
  • NPI 1669431219
  Care Compare affiliation

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1770155343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8579 COMMERCE DR STE 104",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017420",
            "telephone_number": "410-822-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 SUNBURST HWY",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132546",
            "telephone_number": "667-372-0228",
            "fax_number": "410-822-9513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8579 Commerce Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216017420",
            "country_code": "US",
            "telephone_number": "410-822-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHRYN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R211652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Page Willey, O.D.
• Dell Marie Williams- Joyner, LPN
• Latrell Williams-Elliott, LC16135
• Barbara Reilly Williams, PT
• Elizabeth Anne Williams, LCSW-C
• Meisha Woolford, BSN, RN
• Rachel Emily Wright, DNP, FNP-C
• Ydiprmc LLC
• Samantha Marilyn Zelinski, M.S. CF-SLP

• Family Nurse Practitioner in Cambridge, MD
• Providers in Cambridge, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.

Verify at the official NPI Registry.