Individual provider Active NPI

Holly Wilbur, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Bishop, CA
National Provider Identifier
1467289397
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95039971 Issued in CA
Practice address
153 Pioneer LN Ste B
Bishop, CA 93514-2517
Phone
(760) 873-2602
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95039971 CA Primary
Women's Health Nurse Practitioner 363LW0102X 0024190731 VA

Addresses

Primary practice location

153 Pioneer LN Ste B
Bishop, CA 93514-2517

Mailing address

153 Pioneer LN Ste B
Bishop, CA 93514-2517
Phone (760) 873-2623

Other practice location 1

1705 Amherst St
Winchester, VA 22601-3345
Phone (540) 662-0711

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
I20241202002970 VA Practitioner - Nurse Practitioner 2769917665 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024190731VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 22, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 22, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

1705 Amherst St
Ste 203
Winchester, VA 22601
Phone (540) 662-0711

Interoperability endpoints

  • Direct secure messaging: holly.wilbur.1@8042.direct.athenahealth.com

Organizations & group practices 3

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1467289397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 PIONEER LN STE B",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142517",
            "telephone_number": "760-873-2623",
            "fax_number": "760-873-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 PIONEER LN STE B",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142517",
            "telephone_number": "760-873-2602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226013345",
            "country_code": "US",
            "telephone_number": "540-662-0711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "HOLLY",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95039971",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024190731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.