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

Mr. Randall David Wilhoit IV, RN

Individual provider Nurse Practitioner · NPI 1467961029

Mr. Randall David Wilhoit IV, RN is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2017, 9 years ago. Practices with Mission Health Community Multispecialty Providers LLC, a 598-clinician group and accepts Medicare assignment. Licensed in Maryland and North Carolina.

Years since qualifying
9
Licensed in
MD, NC
In the registry since
2017
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-8667
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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 5013068 (NC)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence R210020 (MD)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence R210020 (MD)

Record details

NPI number1467961029
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedSeptember 27, 2017
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mission Health Community Multispecialty Providers Llc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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