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Codie Wiley

Physician Assistant β€’ Fort Eustis, VA

Active NPI 1366941684 Individual Practitioner Female Practitioner
Practice location in NPPES

576 Jefferson Ave Bldg 576
Fort Eustis, VA 236041373

Call 7573147500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

576 Jefferson Ave Bldg 576

Fort Eustis, VA 236041373

Telephone 7573147500
Organization at the Same NPPES Address or Phone
Mcdonald Army Health Care Center Facility NPI 1104207877

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Codie Wiley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Codie Wiley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fort Eustis and Virginia

16 active clinicians are listed under Physician Assistant with a practice address in Fort Eustis, VA (4,411 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Eustis

0% of these 16 clinicians have the CMS telehealth indicator.

12.5% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240521004049

Enrollment State Jurisdiction

VA

PECOS Control ID

6204278351

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
NPI 1629364112

Doctor of Medicine (M.D.)

Kevin Charles , PA-C

Physician Assistant

NPI 1275739435

Physician Assistant (Certified)

Dr. David De Sena , DO

Internal Medicine

NPI 1871112292

Doctor of Osteopathic Medicine (D.O.)

Latosha Hall , NP

Nurse Practitioner - Family

NPI 1114399748

Nurse Practitioner

Lesli Hughes , LCSW

Social Worker - Clinical

NPI 1114322054

Licensed Clinical Social Worker

Benjamin Ingerson , PA-C

Physician Assistant

NPI 1174909949

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location January 05, 2024

Registered at 576 JEFFERSON AVE BLDG 576, FORT EUSTIS, VA 236041373 (Tel: 7573147500)

πŸ“
Updated Business Mailing Address January 05, 2024

Registered at 576 JEFFERSON AVE BLDG 576, FORT EUSTIS, VA 236041373

πŸ“
Updated Business Mailing Address December 07, 2022

Registered at 2240 WINROW RD, FORT HUACHUCA, AZ 856135080 (Tel: 5205339034)

πŸ“
Updated Practice Location May 18, 2022

Registered at 2240 WINROW RD, FORT HUACHUCA, AZ 856135080 (Tel: 5205339200)

πŸ“
Updated Business Mailing Address May 18, 2022

Registered at 219 MOTTERN ST, FORT HUACHUCA, AZ 856131511 (Tel: 3344641734)

βœ…
NPI Profile Active February 02, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 02, 2018

Registered at EXPERCARE URGENT CARE 60 EXCHANGE STREET, SUITE B7, RICHMOND HILL, GA 31324 (Tel: 9127562273)

πŸ“
Business Mailing Address (Initial Record) February 02, 2018

Registered at 78 TRISTON DR, RICHMOND HILL, GA 313240597 (Tel: 3344641734)

πŸ‘€
Provider Name / Credentials (Initial Record) February 02, 2018

Recorded as CODIE WILEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2018

Physician Assistant

🟒
Initial NPI Registration & Enumeration February 02, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366941684
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2018
Last Update: January 05, 2024
Sole Proprietor: No

Other Physician Assistants in Fort Eustis

Mailing Address

576 Jefferson Ave Bldg 576

Fort Eustis, VA 236041373

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.