Samantha Wilson

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

0024177383 Issued in VA

Practice address

10521 Rosehaven St Ste Ll100
Fairfax, VA 22030-2877

Phone

(703) 281-5000

Fax

(703) 255-0765

NPI assigned

Jun 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

43.1 of 100Reported as group

Quality

7.9

Improvement activities

40

Cost

79.19

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.wilson.p1@direct.cwcare.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/21608/brand/4/csg/41/fhir/r4
• Direct secure messaging: samantha.wilson.1@21608.direct.athenahealth.com

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.

• Capital Women'S Care, L.L.C.

  • Obstetrics & Gynecology Physician
  • Fulton, MD
  • NPI 1679534069

  DC

  Medicare reassignment Care Compare group NPD
• Reiter and Hill PLLC

  • Obstetrics & Gynecology Physician
  • Washington, DC
  • NPI 1457560732
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1164081915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "013-408-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 ROSEHAVEN ST STE LL100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302877",
            "telephone_number": "703-281-5000",
            "fax_number": "703-255-0765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 N Washington St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220463436",
            "country_code": "US",
            "telephone_number": "202-331-0770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5550 Friendship Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208157201",
            "country_code": "US",
            "telephone_number": "301-654-5701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 21st St NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200363324",
            "country_code": "US",
            "telephone_number": "202-331-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "DC",
            "license": "RN1021762",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024177383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.wilson.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10521 Rosehaven St Ste Ll100",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220302877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsey Nichole Wilson, LCSW
• Kyler Edward Wilson
• Mazzie Wilson
• Melodi Lynette Wilson, M.D.
• Paulina G Wilson, M.D.
• Sherri Wilson, RN
• Tracey Lynette Wilson
• Othon Wiltz, M.D.
• Natalie Lauren Wilver, PHD
• Sjor'Monique La'Quinta Winbush

• Women's Health Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Women's Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.