Active NPI
Virginia Paige Wildmann, CRNP
- Family Nurse Practitioner
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- N52765
- Practice address
- 100 E Carroll St
Salisbury, MD 21801-5422 - Phone
- (410) 749-1282
- Fax
- (410) 749-7821
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | N52765 | MD | Primary |
Addresses
Primary practice location
100 E Carroll St
Salisbury, MD 21801-5422
Mailing address
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 749-1282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.2 of 100
- Quality
- 70.92
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N52765 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Atlantic, Inc. | Current | Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Family | Current | Accepting new patients |
| Atlantic General Hospital Corporation | Current | Accepting new patients | |
| Atlantic Immedicare LLC | Past | Accepting new patients |
Locations
9733 Healthway Dr
Berlin, MD 21811
Phone (410) 641-1100
314 Franklin Ave
Ste 108
Berlin, MD 21811
Phone (410) 641-0182
10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811
9707 Healthway Dr
Berlin, MD 21811
Phone (410) 629-6888
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041
Organizations & group practices 4
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.
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- NPI 1871582171
-
- Family Medicine Physician
- Salisbury, MD
- NPI 1184832040
-
- Community/Retail Pharmacy
- Berlin, MD
- NPI 1740963859
-
- General Practice Physician
- Ocean City, MD
- NPI 1518199223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1316971302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-749-1282",
"fax_number": "410-749-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-749-1282",
"fax_number": "410-749-7821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDMANN",
"first_name": "VIRGINIA",
"middle_name": "PAIGE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "N52765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.