Wing Health Services LLC
Organization Active NPI Primary Care Nurse Practitioner · Edgemere, MD
NPI 1821886102 · NPPES record last updated Jan 22, 2026
Key facts
- NPI
- 1821886102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- Legal business name
- WING HEALTH SERVICES LLC
- Practice address
- 3218 Grace Rd
Edgemere, MD 21219-1113 - Phone
- (410) 988-4771
- Fax
- (410) 680-2400
- NPI assigned
- Apr 28, 2025
- Organization subpart
- No
Authorized official
- Name
- Larissa Bell, FNP-BC
- Title
- Ceo
- Phone
- (410) 988-4771
Practitioners 1
-
Larissa Catherine Bell, FNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2336583 | Wing Health Services LLC/Dba Wing DPC | Certificate of waiver | Jan 6, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250529000241 | MD | Part B Supplier - Clinic/Group Practice | 3375062748 |
Receives reassigned benefits from 1 practitioner Practice locations: Edgemere, MD |
National Provider Directory
Locations
7929 Eastern Ave
#1022
Baltimore, MD 21224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | |||
| Primary Care Nurse Practitioner |
363LP2300X | Yes |
Addresses
Primary practice location
3218 Grace Rd
Edgemere, MD 21219-1113
Mailing address
3218 Grace Rd
Edgemere, MD 21219-1113
Phone (410) 988-4771
Other providers in Edgemere, MD
- Guardian Home Cares
- Hurley Social Work Services, LLC
- MH Health Care Services, PC
- University of Maryland Medical Regional Supplier Services, LLC
- University of Maryland Medical Regional Supplier Services, LLC
All providers in Edgemere, MD · Primary Care Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.