Individual provider Active NPI

Carrie Louise Wheeler, GNP-C

  • Gerontology Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1922075894
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R194787 Issued in MD
Practice address
5601 Loch Raven Blvd
Suite 502
Baltimore, MD 21239-2945
Phone
(443) 444-4720
Fax
(443) 444-2110
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R194787 MD Primary

Addresses

Primary practice location

5601 Loch Raven Blvd
Suite 502
Baltimore, MD 21239-2945

Mailing address

5601 Loch Raven Blvd
Suite 502
Baltimore, MD 21239-2945
Phone (443) 444-4720

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
I20110601000690 MD Practitioner - Nurse Practitioner 1951588854 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R194787MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Total Elder Care LLC CurrentSince Dec 1, 2020 Accepting new patients
East End Neuropsychiatric Associates PC PastSince Jul 8, 1999 Accepting new patients
Integrace Health Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Middle Country Family Medicine P C PastSince Dec 12, 2001 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Eric Spronz, Psychiatric Nurse Practitioner P.C. PastSince Oct 4, 2020 Accepting new patients

Locations

5601 Loch Raven Blvd
Ste 412
Baltimore, MD 21239
Phone (410) 532-5920

5601 Loch Raven Blvd
Ste 502
Baltimore, MD 21239
Phone (443) 444-4720

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

5601 Loch Raven Blvd
Ste 201
Baltimore, MD 21239
Phone (410) 581-1200

5601 Loch Raven Blvd
#502
Baltimore, MD 21239
Phone (443) 444-4486

5601 Loch Raven Blvd
Ste 512A
Baltimore, MD 21239
Phone (443) 444-6112

5445 Loch Raven Blvd
Ste 203
Baltimore, MD 21239
Phone (443) 444-6100

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1922075894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "SUITE 502",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392945",
            "telephone_number": "443-444-4720",
            "fax_number": "443-444-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "SUITE 502",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392945",
            "telephone_number": "443-444-4720",
            "fax_number": "443-444-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "CARRIE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R194787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.