Individual provider Active NPI

Rachel Willison, FNP

  • Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1831911437
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R204743 Issued in MD
Practice address
12502 Willowbrook Rd Ste 450
Cumberland, MD 21502-6593
Phone
(240) 964-8990
NPI assigned
Oct 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R204743 MD Primary

Addresses

Primary practice location

12502 Willowbrook Rd Ste 450
Cumberland, MD 21502-6593

Mailing address

12502 Willowbrook Rd Ste 450
Cumberland, MD 21502-6593

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241126004362 MD Practitioner - Nurse Practitioner 1355876467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R204743MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Upmc Western Maryland Health Services , LLC CurrentSince Dec 2, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Dec 2, 2024 Accepting new patients

Locations

12501 Willowbrook Rd
Fl 3
Cumberland, MD 21502
Phone (240) 964-8515

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 450
Cumberland, MD 21502
Phone (240) 964-8931

Interoperability endpoints

  • Direct secure messaging: rwillison270080@upmc.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1831911437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD STE 450",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD STE 450",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026593",
            "telephone_number": "240-964-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLISON",
        "first_name": "RACHEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R204743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.