Individual provider Active NPI

Wendy Willis, DC

  • Chiropractor
  • Bedford, VA
National Provider Identifier
1932196623
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1157 Issued in VA
Practice address
1508 Longwood Ave
Bedford, VA 24523-2209
Phone
(540) 583-5749
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1157 VA Primary

Addresses

Primary practice location

1508 Longwood Ave
Bedford, VA 24523-2209

Mailing address

1239 Oakwood St
Bedford, VA 24523-1611
Phone (276) 613-2729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120302000413 VA Practitioner - Chiropractic 0345409801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1157VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peaks View Chiropractic and Acupuncture, PLLC Chiropractor CurrentSince May 16, 2025 Accepting new patients
J R Willis DC PC Chiropractor PastSince Dec 1, 1999 Accepting new patients

Locations

1508 Longwood Ave
Bedford, VA 24523
Phone (276) 613-2729

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1932196623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 OAKWOOD ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245231611",
            "telephone_number": "276-613-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 LONGWOOD AVE",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232209",
            "telephone_number": "540-583-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "WENDY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.