Active NPI
Wanda Kay Delong
- Family Nurse Practitioner
- Galax, VA
National Provider Identifier
1407506512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024183209
- Practice address
- 306 Meadow St
Galax, VA 24333-3020 - Phone
- (276) 236-5300
- Fax
- (276) 236-5303
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- No
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.
-
- Substance Abuse Rehabilitation Facility
- Galax, VA
- NPI 1972601193
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Galax, VA
- NPI 1114292141
Hospital
-
- Physical Therapy Clinic/Center
- Galax, VA
- NPI 1801161369
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oldtown Medical Care LLC
Practice addresses (Care Compare)
306 Meadow St
Galax, VA 24333-3020
Phone (276) 236-5300
Hospital & facility affiliations
- Twin County Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 35.98 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 20
- Cost
- 78.28
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230302000285 | VA | Practitioner - Nurse Practitioner | 7214300839 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001200169 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oldtown Medical Care, LLC | Current | Accepting new patients | |
| Galax Treatment Center, LLC | Past | Accepting new patients |
Locations
306 Meadow St
Galax, VA 24333
Phone (276) 236-2300
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001200169 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024183209 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
306 Meadow St
Galax, VA 24333-3020
Mailing address
306 Meadow St
Galax, VA 24333-3020
Phone (276) 236-5300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2025.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1407506512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 MEADOW ST",
"city": "GALAX",
"state": "VA",
"postal_code": "243333020",
"telephone_number": "276-236-5300",
"fax_number": "276-236-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 MEADOW ST",
"city": "GALAX",
"state": "VA",
"postal_code": "243333020",
"telephone_number": "276-236-5300",
"fax_number": "276-236-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELONG",
"first_name": "WANDA",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-24",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001200169",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024183209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.