Individual provider Active NPI

Sherrona D Wiggins

  • Psychiatric/Mental Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1265224323
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024193594 Issued in VA
Practice address
9808 Crimson Oaks Way
Fredericksburg, VA 22408-9437
Phone
(540) 841-8529
NPI assigned
May 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024193594 VA Primary

Addresses

Primary practice location

9808 Crimson Oaks Way
Fredericksburg, VA 22408-9437

Mailing address

9808 Crimson Oaks Way
Fredericksburg, VA 22408-9437
Phone (540) 841-8529

Other practice location 1

9808 Crimson Oaks Way
Fredericksburg, VA 22408-9437
Phone (540) 841-8529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20260202002497 VA Practitioner - Nurse Practitioner 6507344330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Mental Health and Wellness.Group PAC ID 3971948274, 3 clinicians

Practice addresses (Care Compare)

392 Garrisonville Rd
Suite 210B
Stafford, VA 22554-1576
Phone (540) 930-4063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024193594VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Mental Health & Wellness Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients

Locations

392 Garrisonville Rd
Ste 210B
Stafford, VA 22554
Phone (540) 930-4063

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.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1265224323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 CRIMSON OAKS WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224089437",
            "telephone_number": "540-841-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 CRIMSON OAKS WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224089437",
            "telephone_number": "540-841-8529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9808 Crimson Oaks Way",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224089437",
            "country_code": "US",
            "telephone_number": "540-841-8529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "SHERRONA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.