Active NPI
Monica Loraine Wilt, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Cumberland, MD
National Provider Identifier
1790490571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R185747
- Practice address
- 11602 Bedford Rd NE
Cumberland, MD 21502-6805 - Phone
- (240) 362-7077
- NPI assigned
- Jan 17, 2023
- Last updated
- Jan 17, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R185747 | MD | Primary |
Addresses
Primary practice location
11602 Bedford Rd NE
Cumberland, MD 21502-6805
Mailing address
1315 Ella Ave
Cumberland, MD 21502-4714
Phone (301) 707-1963
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mzimela@zimelawellness.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R185747 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1790490571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 ELLA AVE",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215024714",
"telephone_number": "301-707-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11602 BEDFORD RD NE",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215026805",
"telephone_number": "240-362-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILT",
"first_name": "MONICA",
"middle_name": "LORAINE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R185747",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mzimela@zimelawellness.com",
"affiliation": "N",
"endpointDescription": "Office email",
"address_1": "11602 Bedford Rd NE",
"city": "Cumberland",
"state": "MD",
"country_code": "US",
"postal_code": "215026805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.