MONIQUE RAQUEL WILLINGHAM (CRNP) – Nurse Practitioner, NPI 1912171885

MONIQUE RAQUEL WILLINGHAM (CRNP) is a healthcare provider. based in Belfast, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R160232 (MD). The NPI Number for MONIQUE RAQUEL WILLINGHAM (CRNP) is 1912171885

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MONIQUE RAQUEL WILLINGHAM (CRNP)
NPI
1912171885
Phone
(443) 481-6573
Address
PO BOX 12622
Enumeration Date
22 April 2008
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4434815300
Graduation Year
2007 (19 years ago)
PAC ID
4688747066
Group Practice PAC ID
2860447315
Professional Enrollment ID
I20110224000934
Address ID
MD207163181BO4175XCTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for MONIQUE RAQUEL WILLINGHAM (CRNP)

  • PO BOX 12622

    BELFAST, ME 049154017

    Phone: (443) 481-6573

    Fax: (443) 481-6515

    Type: Mailing

  • 53 OLD SOLOMONS ISLAND RD STE C

    ANNAPOLIS, MD 214013872

    Phone: (443) 570-5946

    Type: Location

  • John and Kathy Belcher Pavilion, 2000, Medical Parkway, Loretta Heights, Bestgate Terrace, Annapolis, Anne Arundel County, Maryland, 21401, United States

    SUITE 200

    ANNAPOLIS, MD 214013744

    Phone: (443) 481-5300

    Fax: (443) 481-6705

    Type: Location

  • 1090 RUSTLING OAKS DR

    MILLERSVILLE, MD 211082421

    Phone: (443) 570-5946

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: ABBVIE INC. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$24
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080717000555INurse PractitionerMDTBD
I20110224000934INurse PractitionerDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04915)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860447315View full group profile
NameSpecialtyState
Internal MedicineMD
Physician AssistantMD
Vascular Surgery, General SurgeryMD
-MD
-MD
-ME
Internal MedicineME
Endocrinology, Internal MedicineME
-ME
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MD

Reviews

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Frequently asked questions

What is the standard ID for MONIQUE RAQUEL WILLINGHAM (CRNP) in the U.S.?
In the U.S., MONIQUE RAQUEL WILLINGHAM (CRNP) is identified by NPI 1912171885.
Is MONIQUE RAQUEL WILLINGHAM (CRNP) currently accepting referrals based on NPI status?
Registry metadata lists MONIQUE RAQUEL WILLINGHAM (CRNP) as active.
What does the directory say MONIQUE RAQUEL WILLINGHAM (CRNP) does?
Insurance directories may phrase it differently, but here MONIQUE RAQUEL WILLINGHAM (CRNP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MONIQUE RAQUEL WILLINGHAM (CRNP)?
The directory associates MONIQUE RAQUEL WILLINGHAM (CRNP) with Belfast, Maine. Check all listed addresses for suites or satellite offices.
Who maintains MONIQUE RAQUEL WILLINGHAM (CRNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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