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BENJAMIN WILSON CRNP
NPI 1528906443
Nurse Practitioner - Acute Care in Baltimore, MD

Active since March 23, 2026PECOS Enrolled
401 N BROADWAY ST, BALTIMORE, MD 21287(410) 955-5222 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 27, 2026, Mar 23, 2026 (2 updates tracked since 2026).

About Benjamin Wilson Crnp NPPES

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

BENJAMIN WILSON CRNP (NPI 1528906443) is an individual acute care provider in Baltimore, Maryland, licensed in Maryland (R245378) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1528906443
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameBENJAMIN WILSONCredential: CRNP
Location Address401 N BROADWAY STBaltimore, MD 21287-0019
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266
Phone(410) 955-5222
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2026
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1528906443 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 · R245378
401 N BROADWAY ST, Baltimore, MD 21287
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037 · Fax (410) 955-0737

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Wilson Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628547809
PECOS Enrollment IDI20260518000378
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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.

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.

ABBYE RAE SOLIS ACNP
Nurse Practitioner (Acute Care)
401 N BROADWAY ST, WEINBERG 3A
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MICHAEL EDWARD KALLEN M.D.
Pathology (Hematology)
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
JOHNS HOPKINS UNIVERSITY
Internal Medicine
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
ZENA JAMEEL MD
Pathology (Anatomic Pathology & Clinical Pathology)
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
GUOFENG GAO M.D.
Student in an Organized Health Care Education/Training Program
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (717) 992-7051
KRISTIN GALLAGHER STOKVIS CRNP
Nurse Practitioner (Acute Care)
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MRS. VALENTINA ANN GOULARTE AG-ACNP
Nurse Practitioner (Acute Care)
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 955-8964
MRS. CHARITY NDAGURI WHITE DNP
Nurse Practitioner (Family)
401 N BROADWAY ST
BALTIMORE, MD 21287
Baltimore City (410) 469-0137

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 Benjamin Wilson's NPI number?

The NPI number for Benjamin Wilson is 1528906443. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Benjamin Wilson located?

Benjamin Wilson practices at 401 N Broadway St, Baltimore, MD 21287. The listed phone number is (410) 955-5222.

What is Benjamin Wilson's specialty?

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

Is Benjamin Wilson enrolled in Medicare?

Yes. Benjamin Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Wilson was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.