Active NPI
Amanda Wingfield, NP
- Family Nurse Practitioner
- Gloucester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024173345
- Practice address
- 6760 Main St
Gloucester, VA 23061-5143 - Phone
- (804) 693-3500
- Fax
- (804) 693-3503
- NPI assigned
- Mar 2, 2016
- 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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
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
- Riverside Walter Reed Hospital
- Sentara Williamsburg Regional Medical Center
- Riverside Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courthouse Family Medicine, PLLC | Current | Accepting new patients |
Locations
6760 Main St
Gloucester, VA 23061
Phone (804) 693-3500
6760 Main St
#A
Gloucester, VA 23061
Interoperability endpoints
- amanda.wingfield.p1@direct.cfm.nextgenshare.com
- 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 and National Provider Directory roles.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gloucester, VA
- NPI 1528162534
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.