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PATTY R. WILSON CRNP-PMH, PHD
NPI 1679042790
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since November 19, 2018PECOS EnrolledAccepts Medicare Assignment
800 N CHARLES ST STE 4R, BALTIMORE, MD 21201(240) 304-3327 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2019, Nov 19, 2018 (2 updates tracked since 2018).

About Patty R. Wilson Crnp-pmh, Phd NPPES

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

PATTY R. WILSON CRNP-PMH, PHD (NPI 1679042790) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R122302) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679042790
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePATTY R. WILSONCredential: CRNP-PMH, PHD
Location Address800 N CHARLES ST STE 4RBaltimore, MD 21201-5318
Mailing Address525 N Wolfe StBaltimore, MD 21205-2110 · (410) 929-0104
Phone(240) 304-3327
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 19, 2018
Last NPPES UpdateJanuary 11, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
✔ NPI 1679042790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R122302
800 N CHARLES ST STE 4R, Baltimore, MD 21201
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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

Patty R. Wilson Crnp-pmh, Phd 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 ID2769903830
PECOS Enrollment IDI20250305001703
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 21201 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.

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 Patty Wilson's NPI number?

The NPI number for Patty Wilson is 1679042790. It was assigned to this individual provider in the NPPES registry on November 19, 2018.

Where is Patty Wilson located?

Patty Wilson practices at 800 N Charles St Ste 4R, Baltimore, MD 21201. The listed phone number is (240) 304-3327.

What is Patty Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Patty Wilson enrolled in Medicare?

Yes. Patty Wilson 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.

When was this NPI record last updated?

The NPPES record for Patty Wilson was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.