Active NPI
Joanne Catherine Wilson, AG-AC NP
- Gerontology Nurse Practitioner
- Fishersville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024178255
- Practice address
- 78 Medical Center Dr
Fishersville, VA 22939-2332 - Phone
- (540) 332-4000
- NPI assigned
- Jan 4, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001173457 | VA | |
| Nurse Practitioner | 363L00000X | 0024178255 | VA | |
| Gerontology Nurse Practitioner | 363LG0600X | 0024178255 | VA | Primary |
Addresses
Primary practice location
78 Medical Center Dr
Fishersville, VA 22939-2332
Mailing address
78 Medical Center Dr
Fishersville, VA 22939-2332
Phone (540) 332-4000
Other practice location 1
332 Sweet Hills Dr
Amherst, VA 24521-3288
Phone (434) 249-6113
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 77.19
- Improvement activities
- 40
- Cost
- 63.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001173457 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Medical Group, Inc. | Current | Accepting new patients | |
| Virginia Internal Medicine Inc | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients |
Locations
9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255
235 Evergreen Ave
Appomattox, VA 24522
Phone (434) 352-7420
2344 Riverside Dr
Danville, VA 24540
Phone (434) 791-2884
595 Vaden Dr
Gretna, VA 24557
Phone (434) 656-1206
5615 Seminole Ave
Lynchburg, VA 24502
Phone (434) 239-2657
2200 Landover Pl
Lynchburg, VA 24501
Phone (434) 846-4626
1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Ashburn, VA
- NPI 1740525245
-
- Critical Care Medicine (Internal Medicine) Physician
- Clinton, MD
- NPI 1780056168
VA
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
VA
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1447076203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1689262800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 MEDICAL CENTER DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392332",
"telephone_number": "540-332-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MEDICAL CENTER DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392332",
"telephone_number": "540-332-4000"
}
],
"practiceLocations": [
{
"address_1": "332 Sweet Hills Dr",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "VA",
"postal_code": "245213288",
"country_code": "US",
"telephone_number": "434-249-6113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "JOANNE",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "AG-AC NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001173457",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024178255",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024178255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.