MRS. SANDRA KELLEY WIELAND CRNP-PMH
NPI 1164622254
Nurse Practitioner - Psychiatric/Mental Health in Cambridge, MD
About Mrs. Sandra Kelley Wieland Crnp-pmh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SANDRA KELLEY WIELAND CRNP-PMH (NPI 1164622254) is an individual psychiatric/mental health provider in Cambridge, Maryland, licensed in Maryland (R038366) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Sandra Kelley Wieland Crnp-pmh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sandra Wieland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Easton, MD 21601
- Reassigned Medicare billing, Maryland enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAMBRIDGE, MD 21613
CAMBRIDGE, MD 21613
CAMBRIDGE, MD 21613
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandra Wieland's NPI number?
The NPI number for Sandra Wieland is 1164622254. It was assigned to this individual provider in the NPPES registry on July 18, 2007.
Where is Sandra Wieland located?
Sandra Wieland practices at 813 Chesapeake Dr Ste 1, Cambridge, MD 21613. The listed phone number is (410) 221-2266.
What is Sandra Wieland's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Sandra Wieland enrolled in Medicare?
Yes. Sandra Wieland is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sandra Wieland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Wieland reassigns Medicare benefits to Channel Marker, Inc. (Easton, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Wieland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sandra Wieland was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Sandra Kelley Wieland, CRNP-PMH · NPI 1164622254
Psychiatric/Mental Health physician in Cambridge, Maryland. Individual provider, active in the CMS NPPES registry since July 18, 2007.
## Identity
- **NPI:** 1164622254 (Entity type: Individual)
- **Enumerated:** July 18, 2007
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R038366 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 813 CHESAPEAKE DR STE 1, Cambridge, MD 21613-9405
- **Phone:** (410) 221-2266 · **Fax:** (410) 221-2878
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Channel Marker, Inc. (NPI 1164639209, Easton, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2019
- **Other identifiers:** Medicaid 479302100 (MD); Medicaid 415081300 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1164622254) · Data from the CMS NPPES public registry.