Active NPI
Wendy M Roberts, NP
- Adult Health Nurse Practitioner
- Sterling, VA
National Provider Identifier
1205152188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024146618
- Practice address
- 21631 Ridgetop Cir Ste 155
Sterling, VA 20166-6618 - Phone
- (703) 404-0350
- Fax
- (703) 404-0352
- NPI assigned
- Apr 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024146618 | VA | Primary |
Addresses
Primary practice location
21631 Ridgetop Cir Ste 155
Sterling, VA 20166-6618
Mailing address
21631 Ridgetop Cir Ste 155
Sterling, VA 20166-6618
Phone (703) 404-0350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642291200000",
"number": "1205152188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21631 RIDGETOP CIR STE 155",
"city": "STERLING",
"state": "VA",
"postal_code": "201666618",
"telephone_number": "703-404-0350",
"fax_number": "703-404-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21631 RIDGETOP CIR STE 155",
"city": "STERLING",
"state": "VA",
"postal_code": "201666618",
"telephone_number": "703-404-0350",
"fax_number": "703-404-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "WENDY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-16",
"last_updated": "2022-01-16",
"certification_date": "2022-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024146618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.