Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ginger Renee Wille, CRNP

Individual provider Nurse Practitioner · NPI 1396508990

Ginger Renee Wille, CRNP is a Nurse Practitioner in Berlin, Maryland. Qualified in 2023, 3 years ago. Practices with Tidalhealth Primary Care LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Delaware and Maryland.

Years since qualifying
3
Licensed in
DE, MD
In the registry since
2024
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

9950 Main St
Berlin, MD 21811-3281
Phone: (443) 668-2563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AC006237 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence LG-0012606 (DE)

Record details

NPI number1396508990
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateDecember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tidalhealth Primary Care Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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