Individual provider Active NPI

Dana Wightman, PA-C

  • Medical Physician Assistant
  • Washington, DC
National Provider Identifier
1053794115
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA200001388 Issued in DC
Practice address
1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304
Phone
(202) 596-8891
Fax
(304) 245-6029
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA200001388 DC Primary

Addresses

Primary practice location

1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304

Mailing address

1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304
Phone (202) 596-8891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180904000969 NJ Practitioner - Physician Assistant 5698077865 Reassigns benefits to 1 organization
I20220729000149 DC Practitioner - Physician Assistant 5698077865 Reassigns benefits to 2 organizations
I20220729000611 MD Practitioner - Physician Assistant 5698077865

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revolution Medicine Health and Fitness PLLCGroup PAC ID 7911339890, 14 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

1050 Connecticut Ave NW
Suite 500
Washington, DC 20036-5304
Phone (202) 596-8891

6410 Rockledge Dr
Bethesda, MD 20817-1844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9108751FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jul 15, 2018 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Aug 8, 2022 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Aug 8, 2022 Accepting new patients

Locations

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

1625 N George Mason Dr
Ste 315
Arlington, VA 22205
Phone (703) 717-4003

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

2800 S Shirlington Rd
Ste 600
Arlington, VA 22206
Phone (703) 558-8133

Interoperability endpoints

  • Direct secure messaging: dwightman96827@direct.virginiahospitalcenter.net
  • Direct secure messaging: dana.wightman.1@23388.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1053794115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365304",
            "telephone_number": "202-596-8891",
            "fax_number": "304-245-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365304",
            "telephone_number": "202-596-8891",
            "fax_number": "304-245-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGHTMAN",
        "first_name": "DANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA200001388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.