Organization Active NPI

Virtualmed Nexus

  • Public Health & General Preventive Medicine Physician
  • Casper, WY
National Provider Identifier
1821844895
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
VIRTUALMED NEXUS
Practice address
240 S Wolcott St Ste 10B
Casper, WY 82601-2575
Phone
(317) 408-3056
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
David Elvin Wilmot, MDNPI 1194710145
Title
Cmo
Phone
(317) 408-3056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

240 S Wolcott St Ste 10B
Casper, WY 82601-2575

Mailing address

7393 Windridge Way
Brownsburg, IN 46112-8801
Phone (317) 408-3056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250724000294 MO Part B Supplier - Clinic/Group Practice 9537675673 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MO

National Provider Directory

National Provider Directory

Locations

240 S Wolcott St
Ste 10B
Casper, WY 82601
Phone (317) 408-3056

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1821844895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7393 WINDRIDGE WAY",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461128801",
            "telephone_number": "317-408-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S WOLCOTT ST STE 10B",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012575",
            "telephone_number": "317-408-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUALMED NEXUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "WILMOT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ELVIN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "317-408-3056",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.