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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2336583Wing Health Services LLC/Dba Wing DPC
3218 Grace Rd, Baltimore, MD 21219
Certificate of waiverJan 6, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X
Primary Care Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
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

All providers in Edgemere, MD · Primary Care Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.