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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

Pharmacist (Pharmacotherapy)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Pharmacist (Pharmacotherapy)
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Nurse Anesthetist, Certified Registered
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215
Anesthesiology
2401 W BELVEDERE AVE
BALTIMORE, MD 21215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225512577, enumerated as an "individual" on September 23, 2018.

The provider is located at 2401 W BELVEDERE AVE BALTIMORE, MD 21215 and the phone number is (410) 601-9000.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

Heather Wilkinson is affiliated with: LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CTR, INC.