Carol Wamboldt, CRNP
NPI 1316975048 · Specialist · Baltimore, MD
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carol Wamboldt, CRNP is a Specialist provider in Baltimore, MD (NPI 1316975048).
Provider details
- NPI number
- 1316975048
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- R156968 (MD)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
335 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 233 | $113 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 53 | $160 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 34 | $196 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 15 | $81 |
Typical Medicare-allowed amounts for these services range $81–$196 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Donepezil Hcl | 111 | 43 |
| Memantine Hclbrand: Memantine Hcl Er | 109 | 43 |
| Memantine Hcl | 52 | 17 |
| Quetiapine Fumarate | 43 | 17 |
| Escitalopram Oxalate | 31 | 14 |
| Gabapentin | 31 | — |
| Sertraline Hcl | 17 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,267 across 58 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2013-05-10
Frequently asked questions
- What is Carol Wamboldt's NPI number?
- Carol Wamboldt's National Provider Identifier (NPI) is 1316975048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carol Wamboldt's specialty?
- Carol Wamboldt is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Carol Wamboldt located?
- Carol Wamboldt's practice location on file with NPPES is 5051 Greenspring Ave, Baltimore, MD 21209-4354.
- What is Carol Wamboldt's phone number?
- The practice phone number listed in the NPPES registry for Carol Wamboldt is (410) 601-1900.
- Does Carol Wamboldt accept Medicare?
- Carol Wamboldt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carol Wamboldt's NPI active?
- Yes — Carol Wamboldt's NPI (1316975048) is active in the NPPES registry as of the last update on 2013-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.