DR. JACQUELINE JOAN RACHEL WISNER MD
NPI 1295164911
Internal Medicine in Timonium, MD
About Dr. Jacqueline Joan Rachel Wisner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE JOAN RACHEL WISNER MD (NPI 1295164911) is an individual internal medicine provider in Timonium, Maryland, licensed in Maryland (D75209) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Greater Baltimore Medical Center, and is a graduate of Warren Alpert Medical School Of Brown University (1987).
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
Dr. Jacqueline Joan Rachel Wisner Md 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
4Medicare enrollment records show Jacqueline Wisner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Timonium, MD 21093
- Reassigned Medicare billing, Maryland enrollment
- 444 clinicians in this Medicare group
Lutherville Timonium, MD 21093
- Reassigned Medicare billing, Maryland enrollment
- 952 clinicians in this Medicare group
Towson, MD 21286
- Reassigned Medicare billing, Maryland enrollment
- 664 clinicians in this Medicare group
Baltimore, MD 21264
- Reassigned Medicare billing, Maryland enrollment
- 128 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 2
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.
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 21093 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Jacqueline Wisner's NPI number?
The NPI number for Jacqueline Wisner is 1295164911. It was assigned to this individual provider in the NPPES registry on November 4, 2013.
Where is Jacqueline Wisner located?
Jacqueline Wisner practices at 2208 Eastlake Rd, Timonium, MD 21093. The listed phone number is (410) 982-8103.
What is Jacqueline Wisner's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jacqueline Wisner enrolled in Medicare?
Yes. Jacqueline Wisner 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 Jacqueline Wisner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Wisner reassigns Medicare benefits to 4 organizations: Greater Baltimore Medical Center, Inc. (Timonium, MD), Johns Hopkins Community Physicians, Inc (Lutherville Timonium, MD), Sinai Hospital Of Baltimore Inc (Towson, MD) and Maryland General Clinical Practice Group, Inc. (Baltimore, 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 Jacqueline Wisner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacqueline Wisner affiliated with any hospitals?
According to CMS data, Jacqueline Wisner is affiliated with Greater Baltimore Medical Center.
When was this NPI record last updated?
The NPPES record for Jacqueline Wisner was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Jacqueline Joan Rachel Wisner, MD · NPI 1295164911
Internal Medicine physician in Timonium, Maryland. Individual provider, active in the CMS NPPES registry since November 4, 2013.
## Identity
- **NPI:** 1295164911 (Entity type: Individual)
- **Enumerated:** November 4, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** D75209 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2208 EASTLAKE RD, Timonium, MD 21093-2706
- **Phone:** (410) 982-8103 · **Fax:** (410) 252-4054
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Greater Baltimore Medical Center, Inc. (NPI 1730047341, Timonium, MD); Johns Hopkins Community Physicians, Inc (NPI 1215759881, Lutherville Timonium, MD); Sinai Hospital Of Baltimore Inc (NPI 1669182499, Towson, MD); Maryland General Clinical Practice Group, Inc. (NPI 1770684805, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Warren Alpert Medical School Of Brown University, class of 1987
## Record status
- **NPPES last updated:** August 4, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1295164911) · Data from the CMS NPPES public registry.