HEATHER WILKINSON NP
NPI 1225512577
Nurse Practitioner - Acute Care in Baltimore, MD

Active since September 23, 2018PECOS EnrolledAccepts Medicare Assignment
79.54/100
CMS Quality Rating
2401 W BELVEDERE AVE, BALTIMORE, MD 21215(410) 601-9000 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 24, 2022, Sep 23, 2018 (2 updates tracked since 2018).

About Heather Wilkinson Np NPPES

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

HEATHER WILKINSON NP (NPI 1225512577) is an individual acute care provider in Baltimore, Maryland, licensed in Maryland (R191906) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Luminis Health Doctors Community Medical Ctr, Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225512577
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameHEATHER WILKINSONCredential: NP
Location Address2401 W BELVEDERE AVEBaltimore, MD 21215-5216
Mailing Address3231 Magnolia Ridge RdAnnapolis, MD 21403-4364 · (410) 493-4643
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 23, 2018
Last NPPES UpdateMay 24, 20222 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1225512577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MD · R191906
2401 W BELVEDERE AVE, Baltimore, MD 21215

Other Names 1

Former Name (1)Heather Goddard Np

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Heather Wilkinson Np 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 ID1658615851
PECOS Enrollment IDI20220607000231
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Heather Wilkinson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
13900 BALTIMORE AVE
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia enrollment
  • 336 clinicians in this Medicare group
Cardiovascular Disease
1851 N GEORGE MASON DR STE 3C
Arlington, VA 22207
  • Reassigned Medicare billing, District of Columbia enrollment
  • 436 clinicians in this Medicare group
Hospitalist
100 HOSPITAL RD
Prince Frederick, MD 20678
  • Reassigned Medicare billing, Maryland enrollment
  • 71 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
137 services76 patients

Hospital Affiliations CMS Care Compare

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

Luminis Health Doctors Community Medical Ctr, Inc

Acute Care Hospitals · Lanham, MD
2/5 CMS rating
OwnershipProprietary
CMS Certification Number210051
Location8118 Good Luck RoadLanham, MD 20706 · Prince Georges County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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.

79.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.02
Promoting Interoperability97
Improvement Activities40
Cost65.27

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Internal Medicine
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Counselor (Professional)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE, ANESTHESIA DEPARTMENT
BALTIMORE, MD 21215
Nurse Practitioner (Family)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215

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 Heather Wilkinson's NPI number?

The NPI number for Heather Wilkinson is 1225512577. It was assigned to this individual provider in the NPPES registry on September 23, 2018. The provider is also known as Heather Goddard Np.

Where is Heather Wilkinson located?

Heather Wilkinson practices at 2401 W Belvedere Ave, Baltimore, MD 21215. The listed phone number is (410) 601-9000.

What is Heather Wilkinson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Heather Wilkinson enrolled in Medicare?

Yes. Heather Wilkinson 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 Heather Wilkinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Wilkinson reassigns Medicare benefits to 3 organizations: Luminis Health Medical Group, LLC (Laurel, MD), Virginia Hospital Center Physician Group LLC (Arlington, VA) and Mdics At Calvert LLC (Prince Frederick, MD). 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 Heather Wilkinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Heather Wilkinson affiliated with any hospitals?

According to CMS data, Heather Wilkinson is affiliated with Luminis Health Doctors Community Medical Ctr, Inc.

When was this NPI record last updated?

The NPPES record for Heather Wilkinson was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.