Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICKOL WEAVER FNP-C
NPI 1215695366
Nurse Practitioner - Family in Owings Mills, MD

Active since December 06, 2021PECOS Enrolled
61.68/100
CMS Quality Rating
10085 RED RUN BLVD STE 105, OWINGS MILLS, MD 21117(410) 581-7804(410) 356-6507 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, Jan 6, 2022, Dec 6, 2021 (3 updates tracked since 2021).

About Nickol Weaver Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKOL WEAVER FNP-C (NPI 1215695366) is an individual family provider in Owings Mills, Maryland, licensed in Maryland (R187292) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Greater Baltimore Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215695366
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICKOL WEAVERCredential: FNP-C
Location Address10085 RED RUN BLVD STE 105Owings Mills, MD 21117-4811
Mailing Address10085 Red Run Blvd Ste 105Owings Mills, MD 21117-4811 · (410) 581-7804 · Fax (410) 356-6507
Fax(410) 356-6507
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 6, 2021
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1215695366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R187292
10085 RED RUN BLVD STE 105, Owings Mills, MD 21117

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nickol Weaver Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618369265
PECOS Enrollment IDI20220112000568
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Greater Baltimore Medical Center

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210044
Location6701 North Charles StreetBaltimore, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.98
Promoting Interoperability0
Improvement Activities40
Cost72.62

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
10085 RED RUN BLVD STE 105
OWINGS MILLS, MD 21117
Family Medicine
10085 RED RUN BLVD STE 105
OWINGS MILLS, MD 21117
Family Medicine
10085 RED RUN BLVD STE 105
OWINGS MILLS, MD 21117

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 Nickol Weaver's NPI number?

The NPI number for Nickol Weaver is 1215695366. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is Nickol Weaver located?

Nickol Weaver practices at 10085 Red Run Blvd Ste 105, Owings Mills, MD 21117. The listed phone number is (410) 581-7804.

What is Nickol Weaver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nickol Weaver enrolled in Medicare?

Yes. Nickol Weaver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nickol Weaver affiliated with any hospitals?

According to CMS data, Nickol Weaver is affiliated with Greater Baltimore Medical Center.

When was this NPI record last updated?

The NPPES record for Nickol Weaver was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.