Lydia Maxine Wheeler, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024178325 Issued in VA

Practice address

8725 John J Kingman Rd
Fort Belvoir, VA 22060-6217

Phone

(703) 863-0632

NPI assigned

Oct 9, 2019

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premium Healthcare LLCGroup PAC ID 0547667966, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caregivers Home Health Services, Inc Home health agency, Tysons, VA, CCN 497559

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premium Healthcare LLC

  dba Personic Wound Care of NV

  • Wound Care Registered Nurse
  • Vienna, VA
  • NPI 1982379590

  DC, Single Specialty

  Medicare reassignment Care Compare group NPD
• Mary Washington Healthcare Physicians

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1295999852

  Single Specialty

  Medicare reassignment NPD
• Promed Preferred MD Professional Corporation

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1831934868

  DC, Single Specialty

  Medicare reassignment NPD
• Promed Preferred VA Professional Corporation

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1376343194

  Single Specialty, VA

  Medicare reassignment NPD
• Mary Washington Healthcare Physicians

  • Durable Medical Equipment & Medical Supplies
  • Fredericksburg, VA
  • NPI 1740853035
  NPD

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

• Caregivers Home Health Services, Inc.

  • Home Health Agency
  • Tysons, VA
  • NPI 1518967744
  Care Compare affiliation

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1811539067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 JOHN J KINGMAN RD",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220606217",
            "telephone_number": "703-863-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "LYDIA",
        "middle_name": "MAXINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Wellington, MD
• Clinton Nelson Wells, MD
• Vivianne Cisneros Wersel
• Joy Healon Jean Westermeier, LCSW
• Jessica Whaley, CNM
• Kathryn Kuhlman Whigham, M.D.
• Ahmon White, CRNA
• Clemence White, DO
• Michael Allen Wiener, M.D.
• Patricia Brenner Wildasin

• Nurse Practitioner in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.

Verify at the official NPI Registry.