Individual provider Active NPI

Wendy Buchanan Gilraine

  • Family Nurse Practitioner
  • Martinsville, VA
National Provider Identifier
1275060840
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174926 Issued in VA
Practice address
319 Hospital Dr Ste 105
Martinsville, VA 24112-1928
Phone
(276) 670-7141
Fax
(276) 670-7142
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 0024174926 VA Primary

Addresses

Primary practice location

319 Hospital Dr Ste 105
Martinsville, VA 24112-1928

Mailing address

319 Hospital Dr Ste 105
Martinsville, VA 24112-1928
Phone (276) 670-7141

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
I20170905000292 VA Practitioner - Nurse Practitioner 6709159353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

319 Hospital Dr
Martinsville, VA 24112-1928

319 Hospital Dr
Martinsville, VA 24112-1948

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174926VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Physician Practices LLC Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

319 Hospital Dr
Ste 105
Martinsville, VA 24112
Phone (276) 634-5090

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: wendy.gilraine.1@19847.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275060840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR STE 105",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121928",
            "telephone_number": "276-670-7141",
            "fax_number": "276-670-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 HOSPITAL DR STE 105",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121928",
            "telephone_number": "276-670-7141",
            "fax_number": "276-670-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILRAINE",
        "first_name": "WENDY",
        "middle_name": "BUCHANAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.