Individual provider Active NPI

Amanda Wingfield, NP

  • Family Nurse Practitioner
  • Gloucester, VA
National Provider Identifier
1497115661
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173345 Issued in VA
Practice address
6760 Main St
Gloucester, VA 23061-5143
Phone
(804) 693-3500
Fax
(804) 693-3503
NPI assigned
Mar 2, 2016
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173345 VA Primary

Addresses

Primary practice location

6760 Main St
Gloucester, VA 23061-5143

Mailing address

PO Box 857
Gloucester, VA 23061-0857
Phone (804) 693-3500

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
I20160420001654 VA Practitioner - Nurse Practitioner 3870891070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Courthouse Family Medicine PLLCGroup PAC ID 5698912202, 2 clinicians

Practice addresses (Care Compare)

6760 Main St
Gloucester, VA 23061-5143
Phone (804) 693-3500

PO Box
Suite 857
Gloucester, VA 23061-0857

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Courthouse Family Medicine, PLLC CurrentSince Mar 5, 2016 Accepting new patients

Locations

6760 Main St
Gloucester, VA 23061
Phone (804) 693-3500

6760 Main St
#A
Gloucester, VA 23061

Interoperability endpoints

  • Direct secure messaging: amanda.wingfield.p1@direct.cfm.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1497115661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 857",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230610857",
            "telephone_number": "804-693-3500",
            "fax_number": "804-693-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615143",
            "telephone_number": "804-693-3500",
            "fax_number": "804-693-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGFIELD",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, VA

Sources for this page

Verify at the official NPI Registry.