Individual provider Active NPI

Evan James Wenger, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Fishersville, VA
National Provider Identifier
1467411983
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
0101232781 Issued in VA
Practice address
57 N Medical Park Dr Ste 109
Fishersville, VA 22939-2353
Phone
(540) 332-4169
Fax
(540) 332-4168
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101232781 VA
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 0101232781 VA Primary

Addresses

Primary practice location

57 N Medical Park Dr Ste 109
Fishersville, VA 22939-2353

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5275

Other identifiers 1

IdentifierTypeStateIssuer
C04857OtherMEDICARE GROUP NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evan.wenger.1@14718.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050722000747 VA Practitioner - Sleep MedicinePractitioner - Neurology 0143295535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Neurology
Education
Virginia Commonwealth University, School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians
Augusta Health Care IncGroup PAC ID 1355248212, 63 clinicians

Practice addresses (Care Compare)

57 N Medical Park Dr
Fishersville, VA 22939-2353
Phone (540) 332-5270

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 245-7216

Hospital & facility affiliations

  • Augusta Health Hospital, Fishersville, VA, CCN 490018
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101232781VAMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Health Care, Inc. CurrentSince Jul 18, 2005 Accepting new patients
Augusta Medical Group CurrentSince Nov 1, 2013 Accepting new patients
Augusta Health Care, Inc CurrentSince Jul 18, 2005 Accepting new patients
Augusta Medical Group CurrentSince Nov 1, 2013 Accepting new patients
Shenandoah Valley Neurological Associates Neurology Past Accepting new patients

Locations

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

57 N Medical Park Dr
Ste 109
Fishersville, VA 22939
Phone (540) 213-2531

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

70 Medical Center Cir
Ste 206
Fishersville, VA 22939
Phone (540) 332-5878

57 N Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5270

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 5

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1467411983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-932-5275",
            "fax_number": "540-932-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N MEDICAL PARK DR STE 109",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392353",
            "telephone_number": "540-332-4169",
            "fax_number": "540-332-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGER",
        "first_name": "EVAN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101232781",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "VA",
            "license": "0101232781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C04857",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evan.wenger.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "57 N Medical Park Dr Ste 109",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.