NPIMap

Individual provider Active NPI

Nina Louise Wyatt, CRNP

  • Primary Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1558973180
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024197139 Issued in VA
Practice address
6900 Forest Ave Ste 300
Richmond, VA 23230-1730
Phone
(804) 346-1515
Fax
(804) 270-2888
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024197139 VA
Primary Care Nurse Practitioner 363LP2300X 0024197139 VA Primary

Addresses

Primary practice location

6900 Forest Ave Ste 300
Richmond, VA 23230-1730

Mailing address

6900 Forest Ave Ste 300
Richmond, VA 23230-1730
Phone (804) 346-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200922003288 PA Practitioner - Nurse Practitioner 3173941267 Reassigns benefits to 1 organization
I20260608000521 VA Practitioner - Nurse Practitioner 3173941267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022496PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Oct 5, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Oct 5, 2020 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

2060 Carlisle Rd
Aspers, PA 17304
Phone (717) 339-2585

22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020

3106 Philadelphia Ave
Chambersburg, PA 17201
Phone (717) 264-3644

12 St Paul Dr
Ste 203
Chambersburg, PA 17201
Phone (717) 264-4839

12 St Paul Dr
Ste 101
Chambersburg, PA 17201
Phone (717) 217-6760

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: nwyatt227950@wellspan.direct-ci.com

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1558973180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 FOREST AVE STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301730",
            "telephone_number": "804-346-1515",
            "fax_number": "804-270-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 FOREST AVE STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301730",
            "telephone_number": "804-346-1515",
            "fax_number": "804-270-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "NINA",
        "middle_name": "LOUISE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024197139",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024197139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.