Individual provider Active NPI

Joanne Catherine Wilson, AG-AC NP

  • Gerontology Nurse Practitioner
  • Fishersville, VA
National Provider Identifier
1689262800
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024178255 Issued in VA
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

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924000463 VA Practitioner - Nurse Practitioner 0345647947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001173457VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. CurrentSince Nov 9, 2023 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Oct 17, 2025 Accepting new patients
M Medical Group, Inc. CurrentSince Nov 9, 2023 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.

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

Verify at the official NPI Registry.