Individual provider Active NPI

Monica Lynn Wiltjer, PA-C

  • Physician Assistant
  • Roanoke, VA
National Provider Identifier
1720445992
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-005191 Issued in VA
Practice address
1127 2ND St SW
Roanoke, VA 24016-4710
Phone
(540) 400-7495
Fax
(877) 803-9136
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110-005191 VA Primary

Addresses

Primary practice location

1127 2ND St SW
Roanoke, VA 24016-4710

Mailing address

1127 2ND St SW
Roanoke, VA 24016-4710
Phone (540) 400-7495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0110-005191VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Psychiatry PLLC Physician Assistant Current Accepting new patients
Claytor Clinic, Inc. Past Accepting new patients

Locations

1127 2nd St SW
Roanoke, VA 24016
Phone (540) 400-7495

Organizations & group practices 2

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": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1720445992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 2ND ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164710",
            "telephone_number": "540-400-7495",
            "fax_number": "877-803-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 2ND ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164710",
            "telephone_number": "540-400-7495",
            "fax_number": "877-803-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTJER",
        "first_name": "MONICA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.