TRACEY WILSON CRNP NPI 1487828885

NPI Information

NPI: 1487828885
Provider Name: TRACEY WILSON, CRNP
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
29 S GREENE ST
BALTIMORE, MD
ZIP 21201
Phone: (410) 328-8141
Get Directions

Tracey Wilson, CRNP is a critical care medicine nurse practitioner in Baltimore, MD with 19 years of experience. Tracey Wilson, CRNP NPI is 1487828885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

29 S GREENE ST
BALTIMORE, MD
ZIP 21201-504
Phone: (410) 328-8141

The NPI 1487828885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 8/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	R115362	MARYLAND	No
2	363LC0200X	Nurse Practitioner	Critical Care Medicine	R115362	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	172381ZAQP	MEDICARE PIN	MARYLAND
2	960542-01 & 02	OTHER	MARYLAND	BLUE CROSS/BLUE SHIELD
3	172381ZCEA	MEDICARE PIN	MARYLAND
4	S062-0375	OTHER	MARYLAND	BLUE SHIELD REGIONAL
5	419033500	MEDICAID	MARYLAND
6	P01479990	MEDICARE PIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »