Individual provider Active NPI

Catherine Mohler Willsey

  • Acute Care Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1952275257
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R245454 Issued in MD
Practice address
9501 Old Annapolis Rd Ste 205
Ellicott City, MD 21042-6336
Phone
(410) 648-2555
NPI assigned
Oct 1, 2025
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R245454 MD Primary

Addresses

Primary practice location

9501 Old Annapolis Rd Ste 205
Ellicott City, MD 21042-6336

Mailing address

9501 Old Annapolis Rd Ste 205
Ellicott City, MD 21042-6336
Phone (410) 648-2555

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
I20251021001285 MD Practitioner - Nurse Practitioner 8820586043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Health Practices LLCGroup PAC ID 2163798299, 4 clinicians

Practice addresses (Care Compare)

9501 Old Annapolis Rd
Suite 205
Ellicott City, MD 21042-6336
Phone (410) 648-2555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R245454MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Health Practices, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

9501 Old Annapolis Rd
Ste 205
Ellicott City, MD 21042
Phone (410) 648-2555

Organizations & group practices 1

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": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1952275257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 205",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426336",
            "telephone_number": "410-648-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD STE 205",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426336",
            "telephone_number": "410-648-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSEY",
        "first_name": "CATHERINE",
        "middle_name": "MOHLER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R245454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.