Individual provider Active NPI

Victoria M. Willey, CRNP

  • Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1972695070
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R097221 Issued in MD
Practice address
1165 Imperial Dr Ste 200
Hagerstown, MD 21740-6583
Phone
(301) 466-5190
Fax
(301) 466-5190
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 R097221 MD Primary

Addresses

Primary practice location

1165 Imperial Dr Ste 200
Hagerstown, MD 21740-6583

Mailing address

8110 Maple Lawn Blvd Ste 302
Fulton, MD 20759-2693
Phone (301) 340-8339

Other practice location 1

12502 Willowbrook Rd
Sujite 660
Cumberland, MD 21502-6491
Phone (240) 964-8760

Other identifiers 1

IdentifierTypeStateIssuer
482501201MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address victoria.willey.d1.p1@direct.cwcare.nextgenshare.com Direct
Direct Messaging Address victoria.willey.d1.p1@direct.cwcare.nextgenshare.com Direct

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
I20111114000379 MD Practitioner - Nurse Practitioner 9739353574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

1165 Imperial Dr
Suite 300
Hagerstown, MD 21740-6556
Phone (301) 665-9098

61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women'S Care, L.L.C. Current Accepting new patients
Capital Women'S Care, L.L.C. CurrentSince Jul 1, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

8110 Maple Lawn Blvd
Ste 302
Fulton, MD 20759

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

1165 Imperial Dr
Ste 200
Hagerstown, MD 21740
Phone (301) 665-9098

844 Washington Rd
Ste 302
Westminster, MD 21157
Phone (410) 848-6294

Interoperability endpoints

  • Direct secure messaging: victoria.willey.d1.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 5

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1972695070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 302",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592693",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 IMPERIAL DR STE 200",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406583",
            "telephone_number": "301-466-5190",
            "fax_number": "301-466-5190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12502 Willowbrook Rd",
            "address_2": "Sujite 660",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026491",
            "country_code": "US",
            "telephone_number": "240-964-8760",
            "fax_number": "240-964-8769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "VICTORIA",
        "middle_name": "M.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R097221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482501201",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.willey.d1.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "844 Washington Rd Ste 302",
            "city": "Westminster",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.willey.d1.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1165 Imperial Dr Ste 200",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217406583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.