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

Nicole Wilson, CRNP

Individual provider Family Nurse Practitioner · NPI 1780132100

Nicole Wilson, CRNP is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2016, 10 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
10
Licensed in
MD
In the registry since
2016
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

5010 York Rd
Baltimore, MD 21212-4444
Phone: (410) 433-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R201655 (MD)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence R201655 (MD)

Record details

NPI number1780132100
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedSeptember 14, 2016
Last updated in NPPESNovember 12, 2024
Certification dateNovember 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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