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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1972183069

Kristelle Nicole Waddell, PMHNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2020, 6 years ago. Practices with Lucid Psychiatric Practice LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2021
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1200 E Joppa Rd
Baltimore, MD 21286-5810
Phone: (443) 798-7077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R201059 (MD)

Record details

NPI number1972183069
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedApril 12, 2021
Last updated in NPPESApril 15, 2021
Certification dateApril 15, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lucid Psychiatric Practice Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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