JACQUELYN C WALLANDER (DNP CRNP) – Adult Health Nurse Practitioner, NPI 1063180792
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,815 NURSE PRACTITIONER in MD
Provider Addresses for JACQUELYN C WALLANDER (DNP CRNP)
985 PRINCE FREDERICK BLVD SUITE 201
PRINCE FREDERICK, MD 206783492
Phone: (410) 414-5329
Fax: (410) 535-4850
Type: Mailing
985 PRINCE FREDERICK BLVD
SUITE 201
PRINCE FREDERICK, MD 206783492
Phone: (410) 414-5329
Fax: (410) 535-4850
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $778.
Total Amount is formed as General ($778) + Research ($0) + Ownership ($0) = $778.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Lilly USA, LLC ($125).
Total Amount
$778
General + Research + Ownership
Payments
8
Total payment records
General Amount
$778
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $125 |
| Corcept Therapeutics | $121 |
| Vertos Medical, Inc. | $117 |
| Alexion Pharmaceuticals, Inc. | $112 |
| Regeneron Healthcare Solutions, Inc. | $95 |
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: 2021-09-24
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210924000116 | I | Nurse Practitioner | MD | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 295 | 227 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 174 | 109 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 162 | 108 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 121 | 79 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 119 | 83 | $0 |
Insurance plans in this area (ZIP 20678)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Internal Medicine | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MD | |
| Family Practice | MD | |
| Pulmonary Disease, Critical Care (Intensivists) | MD | |
| Physician Assistant | MD | |
| Internal Medicine | MD | |
| Internal Medicine | MD | |
| Nurse Practitioner | MD |
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