Individual provider Active NPI

Cynthia M Wilborne, FNP

  • Family Nurse Practitioner
  • Danville, VA
National Provider Identifier
1912951872
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024116437 Issued in VA
Practice address
101 Holbrook St
Danville, VA 24541-1759
Phone
(434) 792-4041
Fax
(434) 792-0124
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024116437 VA Primary

Addresses

Primary practice location

101 Holbrook St
Danville, VA 24541-1759

Mailing address

101 Holbrook St
Danville, VA 24541-1759
Phone (434) 792-4041

Other identifiers 1

IdentifierTypeStateIssuer
010133386MedicaidVA

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
I20050120000806 VA Practitioner - Nurse Practitioner 4587613146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danville Urologic Clinic IncGroup PAC ID 8022067743, 17 clinicians

Practice addresses (Care Compare)

2045 Hamilton Blvd
South Boston, VA 24592-2141
Phone (434) 572-6565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.15 of 100Reported as group
Quality
77.23
Promoting interoperability
97
Improvement activities
40
Cost
80.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024116437VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Urologic Clinic Inc CurrentSince Dec 30, 2019 Accepting new patients
Piedmont Day Surgery Center Inc Past Accepting new patients

Locations

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

800 Memorial Dr
Ste C
Danville, VA 24541
Phone (434) 528-1909

1040 Main St
Danville, VA 24541
Phone (434) 792-1433

429 Commonwealth Blvd E
Martinsville, VA 24112
Phone (276) 638-7731

2045 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-6565

Interoperability endpoints

  • Direct secure messaging: cynthiawilborne@sun.medalliesdirect.net
  • Direct secure messaging: cwilborne29254@direct.acumenmd.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1912951872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOLBROOK ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411759",
            "telephone_number": "434-792-4041",
            "fax_number": "434-792-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOLBROOK ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411759",
            "telephone_number": "434-792-4041",
            "fax_number": "434-792-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBORNE",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024116437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010133386",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.