NICOLE GRIFFIN CRNP
NPI 1316348915
Nurse Practitioner - Family in Waldorf, MD

Active since September 15, 2014PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
3261 OLD WASHINGTON RD, WALDORF, MD 20602(301) 653-2136(301) 932-9027 Get Directions Write a Review

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

Record update history: Aug 24, 2026, Aug 20, 2026 (2 updates tracked since 2026).

About Nicole Griffin Crnp NPPES

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

NICOLE GRIFFIN CRNP (NPI 1316348915) is an individual family provider in Waldorf, Maryland, licensed in Maryland (R133590) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1316348915
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE GRIFFINCredential: CRNP
Location Address3261 OLD WASHINGTON RDWaldorf, MD 20602-3223
Mailing Address3261 Old Washington RdWaldorf, MD 20602-3223 · (301) 653-2136
Fax(301) 932-9027
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 15, 2014
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1316348915 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 · R133590
3261 OLD WASHINGTON RD, Waldorf, MD 20602

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

Nicole Griffin Crnp 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 ID1759503170
PECOS Enrollment IDI20141119000484
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

5

Medicare enrollment records show Nicole Griffin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
301 STEEPLE CHASE DR, STE 103
Prince Frederick, MD 20678
  • Reassigned Medicare billing, Maryland enrollment
  • 5 clinicians in this Medicare group
Urgent Care
11915 GEORGIA AVE
Wheaton, MD 20902
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 309 clinicians in this Medicare group
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, District of Columbia enrollment
  • 168 clinicians in this Medicare group
Internal Medicine
6934 AVIATION BLVD, SUITE B
Glen Burnie, MD 21061
  • Reassigned Medicare billing, District of Columbia enrollment
  • 136 clinicians in this Medicare group
Geriatric Medicine
420 DEAN DR
Gardendale, AL 35071
  • Reassigned Medicare billing, District of Columbia enrollment
  • 106 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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
170 services133 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.91
Promoting Interoperability100
Improvement Activities40
Cost48.97

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.

Podiatrist
3261 OLD WASHINGTON RD, SUITE 1010
WALDORF, MD 20602
Family Medicine
3261 OLD WASHINGTON RD, SUITE 3010
WALDORF, MD 20602
Dietitian, Registered
3261 OLD WASHINGTON RD, STE 2020
WALDORF, MD 20602
Non-Pharmacy Dispensing Site
3261 OLD WASHINGTON RD, SUITE 2011
WALDORF, MD 20602
Obstetrics & Gynecology
3261 OLD WASHINGTON RD, 1013
WALDORF, MD 20602
Nurse Practitioner (Gerontology)
3261 OLD WASHINGTON RD
WALDORF, MD 20602
Obstetrics & Gynecology (Gynecology)
3261 OLD WASHINGTON RD, SUITE 1013
WALDORF, MD 20602
Chiropractor (Occupational Health)
3261 OLD WASHINGTON RD, SUITE 2010
WALDORF, MD 20602

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 Nicole Griffin's NPI number?

The NPI number for Nicole Griffin is 1316348915. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Where is Nicole Griffin located?

Nicole Griffin practices at 3261 Old Washington Rd, Waldorf, MD 20602. The listed phone number is (301) 653-2136.

What is Nicole Griffin's specialty?

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

Is Nicole Griffin enrolled in Medicare?

Yes. Nicole Griffin 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 Nicole Griffin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Griffin reassigns Medicare benefits to 5 organizations: Bayside Primary Care LLC (Prince Frederick, MD), Medstar Urgent Care, LLC (Wheaton, MD), Minuteclinic LLC (Rockville, MD), Mdics Rehabilitative Services LLC (Glen Burnie, MD) and Alignmed Partners, PC (Gardendale, AL). 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 Nicole Griffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Griffin was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.