Nicola Clarke Wallen, PMHNP - Medicare Nurse Practitioner in Waldorf, MD

Nicola Clarke Wallen, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waldorf, Maryland. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 3261 Old Washington Rd Ste 2020, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 960-8930.

Nicola Clarke Wallen is licensed to practice in Maryland (license number R190596) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659413615.

Contact Information

Nicola Clarke Wallen, PMHNP
3261 Old Washington Rd Ste 2020,
Waldorf, MD 20602-3231
(301) 960-8930
Not Available

Map and Direction




Provider's Profile

Full NameNicola Clarke Wallen
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location3261 Old Washington Rd Ste 2020, Waldorf, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicola Clarke Wallen graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1659413615
  • Provider Enumeration Date: 02/13/2007
  • Last Update Date: 08/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8820423734
  • Enrollment ID: I20200828000015

Medical Identifiers

Medical identifiers for Nicola Clarke Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659413615NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R190596 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicola Clarke Wallen allows following entities to bill medicare on her behalf.
Entity NameNicola Clarke Wallen Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609490788
PECOS PAC ID: 8426475054
Enrollment ID: O20200827003432

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicola Clarke Wallen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicola Clarke Wallen, PMHNP
3307 Dunwood Ridge Ter,
Bowie, MD 20721-1259

Ph: (202) 569-2638
Nicola Clarke Wallen, PMHNP
3261 Old Washington Rd Ste 2020,
Waldorf, MD 20602-3231

Ph: (301) 960-8930

Reviews and Comments


Nurse Practitioner Nurses in Waldorf, MD

Mr. Moenil Patel,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603
Phone: 301-373-7900    Fax: 301-373-6900
Ms. Gloria Alice Johnston, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2805 Trumpeter Ct, Waldorf, MD 20601
Phone: 240-353-2516    
Vanessa Wansel, CRNP
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Medicare: Not Enrolled in Medicare
Practice Location: 2193 Everett Ct, Waldorf, MD 20601
Phone: 301-535-8457    
Oluwatoyin Rachael Adelakun,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10612 Cheryl Turn, Waldorf, MD 20603
Phone: 301-377-4325    
Dawnette Gaylene Campbell, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10542 Black Pine Ln, Waldorf, MD 20603
Phone: 301-537-3642    
Queen K Iji, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3070 Crain Hwy, Waldorf, MD 20601
Phone: 301-645-3556    
Ms. Cecelia Ann Gramsky, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3581 Old Washington Rd, Suite F, Waldorf, MD 20602
Phone: 301-638-4400    Fax: 301-638-2200

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.