Individual provider Active NPI

Sheila Waller, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1942442926
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R175178 Issued in MD
Practice address
9114 Philadelphia Rd Ste 108
Baltimore, MD 21237-4346
Phone
(410) 248-6300
Fax
(410) 686-4973
NPI assigned
Apr 6, 2009
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R175178 MD
Family Nurse Practitioner 363LF0000X R175178 MD Primary

Addresses

Primary practice location

9114 Philadelphia Rd Ste 108
Baltimore, MD 21237-4346

Mailing address

520 Upper Chesapeake Dr
Bel Air, MD 21014-4339
Phone (410) 879-9100

Other practice location 1

5119 McFaul Rd
Baltimore, MD 21206-3037
Phone (443) 531-6248

Other names 1

  • Sheila D Chapple Former name

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
I20210428000161 MD Practitioner - Nurse Practitioner 5597173724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Bay ENT and Audiology Group LLCGroup PAC ID 0840646717, 11 clinicians

Practice addresses (Care Compare)

5119 McFaul Rd
Baltimore, MD 21206-3037
Phone (443) 531-6248

9114 Philadelphia Rd
Suite 108
Baltimore, MD 21237-4346
Phone (410) 248-6300

Merit-based Incentive Payment System (MIPS)

Final score
86.58 of 100Reported as group
Quality
82.37
Improvement activities
40
Cost
78.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R175178MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Medical Solutions by Sheila Waller CurrentSince Nov 2, 2023 Accepting new patients
North Bay ENT & Audiology Group LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 206
Bel Air, MD 21014
Phone (410) 879-9100

9114 Philadelphia Rd
Ste 108
Rosedale, MD 21237
Phone (410) 248-6300

Interoperability endpoints

  • Direct secure messaging: swaller828735@direct.umm.edu

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1942442926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "410-879-9100",
            "fax_number": "410-638-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD STE 108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374346",
            "telephone_number": "410-248-6300",
            "fax_number": "410-686-4973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5119 McFaul Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212063037",
            "country_code": "US",
            "telephone_number": "443-531-6248",
            "fax_number": "443-559-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLER",
        "first_name": "SHEILA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R175178",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R175178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "CHAPPLE",
            "middle_name": "D",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.