NICKOL WEAVER FNP-C
NPI 1215695366
Nurse Practitioner - Family in Owings Mills, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Nickol Weaver reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Owings Mills, MD 21117
- Reassigned Medicare billing, Maryland enrollment
- 444 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1205087517 (Maryland)
- 184 clinicians in this Medicare group
Alexandria, VA 22303
- Reassigned Medicare billing, Maryland enrollment
- 61 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.
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, MDPhysician 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.
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.
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.
OWINGS MILLS, MD 21117
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.
Which organizations bill Medicare for Nickol Weaver's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nickol Weaver reassigns Medicare benefits to 3 organizations: Greater Baltimore Medical Center, Inc. (Owings Mills, MD), Patient First Maryland Medical Group PLLC (Silver Spring, MD) and Capital Healthcare PC (Alexandria, VA). Each 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 Nickol Weaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 months 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.
# Nickol Weaver, FNP-C · NPI 1215695366
Family physician in Owings Mills, Maryland. Individual provider, active in the CMS NPPES registry since December 6, 2021.
## Identity
- **NPI:** 1215695366 (Entity type: Individual)
- **Enumerated:** December 6, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R187292 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 10085 RED RUN BLVD STE 105, Owings Mills, MD 21117-4811
- **Phone:** (410) 581-7804 · **Fax:** (410) 356-6507
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Greater Baltimore Medical Center, Inc. (NPI 1508656711, Owings Mills, MD); Patient First Maryland Medical Group PLLC (NPI 1265866503, Silver Spring, MD); Capital Healthcare PC (NPI 1811239627, Alexandria, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215695366) · Data from the CMS NPPES public registry.