KRISTELLE NICOLE WADDELL PMHNP
NPI 1972183069
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
1200 E JOPPA RD, BALTIMORE, MD 21286(443) 798-7077 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristelle Nicole Waddell Pmhnp NPPES

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

KRISTELLE NICOLE WADDELL PMHNP (NPI 1972183069) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R201059) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972183069
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTELLE NICOLE WADDELLCredential: PMHNP
Location Address1200 E JOPPA RDBaltimore, MD 21286-5810
Mailing Address402 Muscovy CtHavre De Grace, MD 21078-4227 · (410) 652-8555
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 12, 2021
Last NPPES UpdateApril 15, 2021
NPPES CertifiedApril 15, 2021
NPI 1972183069 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 · R201059
1200 E JOPPA RD, Baltimore, MD 21286

Other Names 1

Former Name (1)Kristelle Nicole Fabula

Other Identifiers 1

OtherR201059MD · License Number

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

Kristelle Nicole Waddell Pmhnp 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 ID6305247693
PECOS Enrollment IDI20210624000075
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 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.

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.
146 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.
33 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21286 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
1200 E JOPPA RD, SUITE A1
TOWSON, MD 21286
Nurse Practitioner (Psychiatric/Mental Health)
1200 E JOPPA RD
TOWSON, MD 21286
Nurse Practitioner (Psychiatric/Mental Health)
1200 E JOPPA RD, SUITE A
TOWSON, MD 21286
Dentist
1200 E JOPPA RD, SUITE A
TOWSON, MD 21286
Counselor (Professional)
1200 E JOPPA RD, A1
TOWSON, MD 21286
Behavior Technician
1200 E JOPPA RD
TOWSON, MD 21286
Dentist (General Practice)
1200 E JOPPA RD, SUITE A
TOWSON, MD 21286

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 Kristelle Waddell's NPI number?

The NPI number for Kristelle Waddell is 1972183069. It was assigned to this individual provider in the NPPES registry on April 12, 2021. The provider is also known as Kristelle Nicole Fabula.

Where is Kristelle Waddell located?

Kristelle Waddell practices at 1200 E Joppa Rd, Baltimore, MD 21286. The listed phone number is (443) 798-7077.

What is Kristelle Waddell's specialty?

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

Is Kristelle Waddell enrolled in Medicare?

Yes. Kristelle Waddell 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 Kristelle Waddell was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.