Paige Wieczorek

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R239335 Issued in MD

Practice address

1235 E Monument St
Baltimore, MD 21202-5327

Phone

(410) 327-5100

NPI assigned

Mar 5, 2025

Sex

Female

Sole proprietor

No

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hollis Seunarine Mdpa LLCGroup PAC ID 4183608573, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hollis Seunarine Mdpa LLC

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1891726378
  Medicare reassignment Care Compare group NPD
• Park Heights Medical Clinic LLC

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1639101462
  NPD (past)

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1821896952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025327",
            "telephone_number": "410-327-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R239335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Widlus, M.D.
• Nancy Widlus, LCSW-C
• Patricia Ferrie Widra, M.D.
• Shelly A. Wiechelt, PH.D., LCSW-C, CCDC
• Beth H Wieczorek, CRNP
• Lindsey Wiedel
• Deirdre Wiederrecht, CRNP
• Tessa Wiedl, RD, LDN
• Brett A Wiegrefe, PT
• Mark Darlington Wieland, MD

• Primary Care Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.